Technique for safe removal of an aortic endograft with suprarenal fixation

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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 This way, the graft collapses and the hooks are withdrawn without tearing the wall of the aorta.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. © 2006 The Society for Vascular Surgery.

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Koning, O. H. J., Hinnen, J. W., & van Baalen, J. M. (2006). Technique for safe removal of an aortic endograft with suprarenal fixation. Journal of Vascular Surgery, 43(4), 855–857. https://doi.org/10.1016/j.jvs.2005.12.011

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