title: Troubleshooting techniques for the Endurant™ device in endovascular aortic aneurysm repair.
abstract: Endovascular aortic aneurysm repair with the Endurant™ stent-graft system has been shown to be safe and effective in high-risk surgical patients with complex suprarenal and/or infrarenal abdominal aortic aneurysm anatomy. The wireformed M-shaped stent architecture and proximal springs with anchoring pins theoretically permit optimal sealing in shorter and more angulated proximal aneurysm necks even under off-label conditions. Nonetheless, extremely difficult anatomical situations and inherent graft system-related limitations must be anticipated. Herein, we describe our techniques to overcome the capture of the tip sleeve within the suprarenal bare-stent anchoring pins, other endograft segments, and native vessels.
authors.affiliation: Department of Vascular Surgery, Demokritus University of Thace, University General Hospital of Alexandroupolis, Greece. ggeorgia@med.duth.gr.
authors.forename: George S
authors.initials: GS
authors.lastname: Georgiadis
authors.affiliation: Department of Vascular Surgery, Red Cross Hospital of Athens, Greece.
authors.forename: George A
authors.initials: GA
authors.lastname: Antoniou
authors.affiliation: Surgical Sector, Vascular Surgery Unit, Georgios Papanikolaou Hospital, Thessaloniki, Greece.
authors.forename: George
authors.initials: G
authors.lastname: Trellopoulos
authors.affiliation: Department of Vascular Surgery, Demokritus University of Thace, University General Hospital of Alexandroupolis, Greece.
authors.forename: Efstratios I
authors.initials: EI
authors.lastname: Georgakarakos
authors.affiliation: Department of Vascular Surgery, Demokritus University of Thace, University General Hospital of Alexandroupolis, Greece.
authors.forename: Christos
authors.initials: C
authors.lastname: Argyriou
authors.affiliation: Department of Vascular Surgery, Demokritus University of Thace, University General Hospital of Alexandroupolis, Greece.
authors.forename: Miltos K
authors.initials: MK
authors.lastname: Lazarides
mesh_terms: D001012:Aorta, Abdominal / Q000601:surgery*; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D001027:Aortography; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000379:methods*; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D011474:Prosthesis Design; D015607:Stents