title: A technique for endograft relining of a type IV endoleak using a surgeon-modified internal gate.
abstract: Type IV endoleaks represent a rare etiology of late endograft failure; however, depending on the location, they can be extremely challenging to repair with endovascular solutions. We present a method of endograft relining that preserves antegrade limb perfusion, avoids extra-anatomic reconstructions, and ensures complete endograft exclusion.
authors.affiliation: Department of Vascular Surgery, San Antonio Military Medical Center, San Antonio, TX. Electronic address: michael.s.clemens.mil@mail.mil.
authors.forename: Michael S
authors.initials: MS
authors.lastname: Clemens
authors.affiliation: Department of Vascular Surgery, San Antonio Military Medical Center, San Antonio, TX.
authors.forename: Daniel J
authors.initials: DJ
authors.lastname: Scott
authors.affiliation: Department of Vascular Surgery, San Antonio Military Medical Center, San Antonio, TX.
authors.forename: Mamie C
authors.initials: MC
authors.lastname: Stull
authors.affiliation: Department of Vascular Surgery, San Antonio Military Medical Center, San Antonio, TX.
authors.forename: Sean J
authors.initials: SJ
authors.lastname: Hislop
authors.affiliation: Department of Vascular Surgery, San Antonio Military Medical Center, San Antonio, TX.
authors.forename: Brandon W
authors.initials: BW
authors.lastname: Propper
authors.affiliation: Department of Vascular Surgery, San Antonio Military Medical Center, San Antonio, TX.
authors.forename: Zachary M
authors.initials: ZM
authors.lastname: Arthurs
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000175:diagnosis / Q000601:surgery*; D001027:Aortography; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation; D057867:Endoleak / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D011475:Prosthesis Failure; D012086:Reoperation; D015607:Stents; D016896:Treatment Outcome