A Novel Technique for Sutureless Proximal Aortic Endograft Revision in Type 1A Endoleak.

Ann Vasc Surg 2018 Aug 7;51:320-323. Epub 2018 Jun 7.

Department of Vascular Surgery, Austin Health, Melbourne, Australia; Department of Surgery, The University of Melbourne, Melbourne, Australia. Electronic address:

Management of type 1A endoleaks can be challenging. In the endovascular era, this condition is expected to become more frequent. Conventionally, surgical explant of the endograft remains the "last-resort" surgical treatment when all endovascular or other open options are exhausted. Endograft removal is a difficult and morbid procedure. An alternative technique is described that involves cinching the endograft after disengagement of the proximal fixation hooks. The endograft is redeployed within a prosthetic aortic replacement graft with an overlapping zone. This can reduce complications such as from additional anastomoses, graft bleeding, prolonged clamping, operative time, and associated comorbidities.

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http://dx.doi.org/10.1016/j.avsg.2018.02.031DOI Listing
August 2018

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