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■ Aortic aneurysm, Stanford type B dissection, PAU etc.
■ Larger ascending aorta diameter■ Shorter neck length
Deployment images for Dissection treatment *1

Preoperative

Deployment images for Aneurysm treatment *2

Postoperative

Preoperative

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■ Fast operation procedure*3■ Fenestration’ s self alignment

・Pre-oriented fenestrations inside delivery sheath. (Fig.1)
・Pre-curved delivery sheath will automatically adapt to the arch shape. (Fig.1)
・Simulation test will assure accurate orientation and vessel patency. (Fig.2)■ Zone 0 Landing*4
・Longer proximal landing zone for device stability
・Larger proximal sealing
・Reducing debranching & avoiding chimney
Pre-orientedFace Up

Pre-curvedFig. 1

Fig. 2     Since 2013, Kawasumi Najuta thoracic stent graft system*2 was chosen at approx. 2,000
cases*5 in Japan.
Today CMD Najuta Thoracic Stent Graft System is available in European markets.
* The product customization has technical limitation and the specification is subject to be decided according to its treatment effectiveness and risk.
*1 Naoki Toya, Takao Ohki, Soichiro Fukushima, Kota Shukuzawa, Eisaku Ito, Yuri Murakami, Tadashi Akiba/Case Series of Aortic Arch Aneurysm in Patients with BovineArch Treated with Proximal Scalloped and Fenestrated StentGraft / Cardiovasc Intervent Radiol, 2018, 41:1648-1653*2 Satoshi Kawaguchi, MD, PhD,1 Hideyuki Shimizu, MD, Akihiro Yoshitake, MD, Taro Shimazaki, MD, Toru Iwahashi, MD, Hitoshi Ogino, MD, Shin Ishimaru, MD, Hiroshi Shigematsu, MD, and Ryohei Yozu, MD Endovascular Stent Graft Repair for Thoracic Aortic Aneurysms: TheHistory and the Present in Japan / Ann Vase Dis 2013, Vol. 6, No. 2:P129- 136*3 Soichiro Fukushima, MD, Takao Ohki, MD, Naoki Toya, MD, Kota Shukuzawa, MD, Eisaku Ito, MD, Yuri Murakami, MD and Tadashi Akiba, MD / Initial results of thoracic endovascular repair for uncomplicated type B aortic dissection involving the arch vessels using asemicustom-made thoracic fenestrated stent graft / Journal of Vascular Surgery, 2019, Vol 69, No 6:P1694-1703*4 Yoshihiko Kurimoto, MD, PhD, Ryushi Maruyama, MD, PhD, Kousuke Ujihira, MD, Naritomo Nishioka, MD, Kousei Hasegawa, MD, Yutaka Iba, MD,Eiichiro Hatta, MD, PhD, Akira Yamada, MD, PhD, and Katsuhiko Nakanishi, MD, PhD/ Thoracic Endovascular Aortic Repair
for Challenging Aortic Arch Diseases Using Fenestrated Stent Grafts From Zone 0 / Ann Thorac Surg, 2015, 100:24-33*5 the number is as of July 2020.
NJT-CLT-CME-2308-05

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