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Customized aortic repair : an alternative approach to aortic aneurysm repair using injectable elastomer

Bosman, W.M.P.F.

Citation

Bosman, W. M. P. F. (2011, September 1). Customized aortic repair : an alternative approach to aortic aneurysm repair using injectable elastomer.

Retrieved from https://hdl.handle.net/1887/17803

Version: Corrected Publisher’s Version

License: Licence agreement concerning inclusion of doctoral thesis in the Institutional Repository of the University of Leiden

Downloaded from: https://hdl.handle.net/1887/17803

Note: To cite this publication please use the final published version (if

applicable).

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Customized Aortic Repair:

an alternative approach to aortic aneurysm repair using injectable elastomer

Willem-Maarten PF Bosman

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Promotiecommissie

Promotor: Prof. Dr. J.F. Hamming (Universiteit Leiden)

co-promotor: Dr. A.C. de Vries (Medisch Centrum Haaglanden)

overige leden: Prof. Dr. M.J. Jacobs (Universiteit Maastricht) Prof. Dr. J.H. van Bockel (Universiteit Leiden) Dr. C.S.P. van Rijswijk (Universiteit Leiden)

oppositie commissie: Prof. Dr. F.L. Moll (Universiteit Utrecht) Dr. H.L.F. Brom (Kennemer Gasthuis)

Dr. C.H.R. Bosman (Medisch Centrum Haaglanden) Dr. J.W. Hinnen (Universiteit Leiden)

Paranimfen: Dr. K.E.A. van der Bogt (Universiteit Leiden) Drs. R.D. Vriesendorp (Universiteit Leiden)

ISBN: 978-94-6169-106-4

Layout and printing: Optima Grafische Communicatie, Rotterdam, The Netherlands

This thesis, including additional multimedia material, is also available as webapp on:

www.customizedaorticrepair.com

Scan the QR-code with your smartphone or tablet and it will take you to the website for the webapp.

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customized Aortic repair:

an alternative approach to aortic aneurysm repair using injectable elastomer

PROEFSCHRIFT

ter verkrijging van

de graad van Doctor aan de Universiteit Leiden,

op gezag van de Rector Magnificus Prof. mr. P.F. van der Heijden, volgens besluit van het College voor Promoties

te verdedigen op donderdag 1 september 2011 klokke 15:00 uur

door

Willem-maarten Pieter Frederik Bosman

geboren te ‘s Gravenhage in 1981

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Research described in this thesis was performed at the Department of Surgery of the Leiden University Medical Center.

Financial support for this thesis was provided by:

Leiden University Fund - Gratama Foundation Ketel 1 Studiefonds

LUMC Heelkunde Fonds Rijnland Ziekenhuis

Research Fonds Rijnland Ziekenhuis CAR B.V. i.o.

Vascutek Nederland - a Terumo company W.L. Gore & Associates

TD Medical B.V.

Sigma Medical AngioCare B.V.

B. Braun Medical B.V.

Oldelft Benelux B.V.

ChipSoft B.V.

Sanofi-BMS

Astellas Pharma B.V.

Krijnen Medical Innovations B.V.

Bard Benelux N.V.

Heart Medical B.V.

Oudshoorn Chirurgische Techniek B.V.

the printing of this thesis was financially supported by:

The J.E. Jurriaanse Stichting The Netherlands Heart Foundation

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“If you only have a hammer, every problem looks like a nail”

- Abraham Manslow

Voor mijn familie

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tABle oF contents

chapter 1 General introduction 9

chapter 2 The effect of stent-graft compliance on

endotension after EVAR. 27

chapter 3 Influence of aneurysm wall stiffness and the presence of intraluminal thrombus on the wall movement of an aneurysm. An in-vitro study.

43

chapter 4 Aortic Customize: a new alternative endovascular approach to Aortic Aneurysm repair using injectable biocompatible elastomer. An in-vitro study.

57

chapter 5 The proximal fixation strength of modern EVAR-

grafts in a short aneurysm neck. An in-vitro study. 75 chapter 6 The effect of injectable biocompatible elastomer

(PDMS) on the strength of the proximal fixation of EVAR-grafts. An in-vitro study.

91

chapter 7 Treating type II-IV endoleaks by injecting biocom- patible elastomer (polydimethylsiloxane; PDMS) in the aneurysm sac. An in-vitro study.

107

chapter 8 Thrombogenicity of a new injectable biocompatible elastomer for aneurysm exclusion, compared to expanded polytetrafluoroethylene in a human ex-vivo model.

123

chapter 9 Aortic customize: an in vivo feasibility study of a percutaneous technique for the repair of aortic aneurysms using injectable elastomer.

137

chapter 10 Summary and discussion. 151

chapter 11 Samenvatting in het Nederlands 167

chapter 12 Addenda: 177

Abbreviations 179

List of Publications 181

Curriculum Vitae 185

Acknowledgements 187

Colofon 190

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