Totally laparoscopic explantation of migrated stent graft after endovascular aneurysm repair: a report of two cases.
This report describes the removal of two migrated stent grafts and the repair of abdominal aortic aneurysms by laparoscopic technique. In these two cases, endovascular treatment was not indicated because of device migration into the aneurysm and the presence of thrombus within the endografts. Operative times were 245 and 230 minutes, with aortic clamp times of 95 and 66 minutes. The patients were extubated immediately after the procedure, resumed a normal diet on postoperative day 2, and were discharged home on postoperative days 5 and 6. We believe these are the first reported cases of laparoscopic explantation of migrated aortic stent grafts in the literature.
Lin
Judith C
JC
Department of Vascular Surgery and Endovascular Therapy, Augusta Hospital Duesseldorf, 40472 Duesseldorf, Germany.
Kolvenbach
Ralf
R
Wassiljew
Sergej
S
Pinter
Laszlo
L
Schwierz
Elisabeth
E
Puerschel
Ariane
A
D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects*; D020878:Device Removal / Q000379:methods*; D005500:Follow-Up Studies; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D006801:Humans; D010535:Laparoscopy / Q000379:methods; D008297:Male; D012086:Reoperation / Q000379:methods; D013536:Suture Techniques; D014057:Tomography, X-Ray Computed