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|Title:||A Novel Technique for Sutureless Proximal Aortic Endograft Revision in Type 1A Endoleak.|
|Authors:||Chiang, Nathaniel;Baird, Samantha M;Ratinam, Ratheesraj;Chuen, Jason|
|Affiliation:||Department of Vascular Surgery, Austin Health, Heidelberg, Victoria, Australia|
Department of Anatomy and Developmental Biology, Monash University, Melbourne, Australia
Department of Surgery, The University of Melbourne, Melbourne, Australia
|Citation:||Annals of vascular surgery 2018; online first: 7 June|
|Abstract:||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.|
|Appears in Collections:||Journal articles|
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