title: Technique for safe removal of an aortic endograft with suprarenal fixation.
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 This way, the graft collapses and the hooks are withdrawn without tearing the wall of the aorta.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.
authors.affiliation: Department of Surgery, Division of Vascular Surgery, Leiden University Medical Center, The Netherlands. koning@lumc.nl
authors.forename: Olivier H J
authors.initials: OH
authors.lastname: Koning
authors.forename: Jan-Willem
authors.initials: JW
authors.lastname: Hinnen
authors.forename: Jary M
authors.initials: JM
authors.lastname: van Baalen
mesh_terms: D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D020878:Device Removal / Q000295:instrumentation* / Q000379:methods; D004867:Equipment Design; D004869:Equipment Safety; D006801:Humans; D012077:Renal Artery / Q000601:surgery*; D012680:Sensitivity and Specificity