Technique for safe removal of an aortic endograft with suprarenal fixation

J Vasc Surg. 2006 Apr;43(4):855-7. doi: 10.1016/j.jvs.2005.12.011.

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 This way, the graft collapses and the hooks are withdrawn without tearing the wall of the aorta.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.

Publication types

  • Comparative Study

MeSH terms

  • Blood Vessel Prosthesis / adverse effects*
  • Blood Vessel Prosthesis Implantation / adverse effects*
  • Blood Vessel Prosthesis Implantation / methods
  • Device Removal / instrumentation*
  • Device Removal / methods
  • Equipment Design
  • Equipment Safety
  • Humans
  • Renal Artery / surgery*
  • Sensitivity and Specificity