c l i n i c a l f o l i o s : n a r r a t i v e





A D V E R T I S E M E N T

 

Explantation of Aortic Endograft for Type I Endoleak: 7

A D V E R T I S E M E N T

   
 

A closeup of the endograft is shown, surrounded by thrombus and sac contents. The junction between the right iliac extender module and the main graft module is seen (arrow).       

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Explantation of Aortic Endograft for Type I Endoleak: 8

A D V E R T I S E M E N T

   
 

The posterior aorta and endoleak lumen are demonstrated. The patent lumbar arteries were oversewn within the aneurysm sac.       

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Explantation of Aortic Endograft for Type I Endoleak: 9

A D V E R T I S E M E N T

   
 

It was decided that detaching the well-sealed distal endograft would unduly risk injury to the native iliac artery, especially given the inflammatory nature of the tissues surrounding the aortic bifurcation. Therefore the proximal iliacs were transected leaving the distal endograft in-situ. This was facilitated by the use of wire cutters. Backbleeding was controlled with occlusion balloons.      

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This page was last modified on 11/12/2004.