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).
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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