A new technique to explant an infected aortic endograft.
The management of an infected aortic endograft can be challenging both operatively and clinically. Although aortic endograft infection is rare, the incidence is likely to increase in the coming years because of ever rising numbers of endovascular aneurysm repairs. Definitive management involves the removal of the endograft through laparotomy. Removal of the graft is technically challenging; no manufacturer's device is available to assist in disengagement of barbed hooks that hold the endograft in position. We present a new technique using the disposable proctoscope as a device to facilitate safe removal of the endograft with minimal damage to the aortic wall.
Department of Vascular Surgery, New Cross Hospital, Wolverhampton, United Kingdom. Electronic address: popplewell@doctors.org.uk.
Matthew A
MA
Popplewell
Department of Vascular Surgery, New Cross Hospital, Wolverhampton, United Kingdom.
Andrew W
AW
Garnham
Department of Vascular Surgery, New Cross Hospital, Wolverhampton, United Kingdom.
Simon D
SD
Hobbs
D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D066254:Axillofemoral Bypass Grafting; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects* / Q000379:methods; D020878:Device Removal; D057510:Endovascular Procedures; D006801:Humans; D008297:Male; D011474:Prosthesis Design; D016459:Prosthesis-Related Infections / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D011877:Radionuclide Imaging; D015607:Stents / Q000009:adverse effects*; D016896:Treatment Outcome; D014656:Vascular Surgical Procedures