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Technical note

How to use a 20 mL-syringe to explant an infected stentgraft with suprarenal fixation?

Suprarenal fixation of aortic stentgraft can be left in place when explantation is performed in uninfected situations such as ruptured endoleak or acute thrombosis. In case of infections and especially in stentgraft-enteric fistula, this strategy can promote reinfection and recurrence of the fistula. Total control of the suprarenal aorta and visceral arteries revascularisation can be achieved through a left retroperitoneal approach but with poor access to repair the bowel in case of fistula. In this situation midline laparotomy is the best approach to perform the repair of the bowel and syringe extraction represents a valuable option to explant the stentgraft

February 26, 2020 No Comments
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Technical note

Open Conversion for Failed EVAR: Increasing Need and Different Strategies

Late open conversion after EVAR shows an increasing incidence and is mostly related to arterial degeneration and/or material fatigue. Dr. Michael Makaroun provides a unique overview of different techniques for the challenging open conversion for failed EVAR.

Review of the literature

Treatment results of descending thoracic aortic graft and endograft infection: a systematic review

Dr. Andrea Kahlberg (Milan, Italy) provides a comprehensive overview of their paper about the treatment strategies and outcomes of openr repair in case fo infected graft and endograft infections in the descending aorta.