Technical note
5 tips for (T)EVAR extraction
Our Top 5 tips for explantation of (T)EVAR, 10 minutes voice over technical video combining several surgeries
Xavier Berard
Professor of Vascular Surgery, PhD, FEBVS
Activities
Technical note
Vein interposition bypass of the SMA
SMA vein interposition bypass with reimplantation of jejunal arteries
Dissecting aneurysm of the SMA with previous ligation of hepatic artery due to a ruptured aneurysm 3 years before
Comment on Aug 17, 2020
Andreas Lazaris commented on your presentation How to use a 20 mL-syringe to explant an infected stentgraft with suprarenal fixation?.
Comment on Jun 11, 2020
Daniel Mendes-Pinto commented on your presentation Total extraction of infected aortic and iliac branched stentgrafts..
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
Recorded video case
Total extraction of infected aortic and iliac branched stentgrafts.
Step by step procedure on how to explant an aortic and iliac branch endoprosthesis with minimal duration of suprarenal aortic cross clamping in a patient with altered renal function.