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Title: A Novel Technique for Sutureless Proximal Aortic Endograft Revision in Type 1A Endoleak.
Austin 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
Issue Date: Aug-2018
Date: 2018-06-07
Publication information: Annals of vascular surgery 2018; 51: 320-323
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.
DOI: 10.1016/j.avsg.2018.02.031
ORCID: 0000-0002-5274-8761
Journal: Annals of vascular surgery
PubMed URL: 29772316
Type: Journal Article
Appears in Collections:Journal articles

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