Technique for safe removal of an aortic endograft with suprarenal fixation

Journal of Vascular Surgery
Olivier H J KoningJary M van Baalen

Abstract

Complete removal of an aortic endograft with suprarenal fixation is difficult. We report the use of a simple device to extract a Zenith endograft. This device is made by cutting off the tip of the cylinder of a 20-mL syringe and rounding off the edges. The main body of the graft is resheathed by advancing the cylinder cranially while keeping the graft in a stable position. This way, the graft collapses and the hooks are withdrawn without tearing the wall of the aorta. The supraceliac clamping time in our patient was less than 2 minutes. This technique offers a safe and fast solution to the potentially hazardous removal of an aortic endograft with suprarenal fixation.

References

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Citations

May 24, 2012·Canadian Journal of Surgery. Journal Canadien De Chirurgie·Thomas L ForbesGuy DeRose
Oct 18, 2011·Surgery·Sachin V PhadeMark K Eskandari
May 31, 2011·Annals of Vascular Surgery·Shintaro ShibutaniYuko Kitagawa
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Aug 22, 2018·Journal of Vascular Surgery·Paolo PeriniAntonio Freyrie
Feb 9, 2020·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Paolo PeriniUNKNOWN LOCOS-1 investigators
Jul 1, 2020·Annals of Vascular Surgery·Gian Franco VeraldiLuca Mezzetto
Feb 2, 2022·Vascular·Timothy P ShiraevRaffi Qasabian

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