Technique for safe removal of an aortic endograft with suprarenal fixation.
other · Level V
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- Record sourced from PubMed, PMID 16616252.
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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 This way, the graft collapses and the hooks are withdrawn without tearing the wall of the aorta.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.
Medical subject headings
- Blood Vessel Prosthesis
- Blood Vessel Prosthesis Implantation
- Device Removal
- Renal Artery