Thoracic aortic endograft explant: a single-center experience.
Publication/Presentation Date
8-1-2010
Abstract
OBJECTIVES: We report our experience following thoracic aortic endovascular repair (TEVAR) explant.
METHODS: A total of 500 TEVARs were performed from 1999 to 2009, with 4 requiring explant. Chart review was performed to identify the indications of explant, operative technique, and perioperative morbidity and mortality.
RESULTS: Indications of graft removal included device maldeployment, type I endoleak, aortoenteric fistula, and retrograde type A dissection necessitating aortic root replacement. Reconstruction was achieved with aortic homograft, Dacron, or explant of the proximal component with incorporation of the distal stent into the suture line. Mean follow-up was 13 months (0-50 months). Paraplegia and perioperative death occurred in 1 patient who underwent intraoperative conversion to open repair. There were no other major complications, and graft removal was achieved in all patients.
CONCLUSIONS: Although rare, familiarity with TEVAR explant is imperative as it is increasingly performed for broader indications. Our limited data suggest that explant can be performed successfully albeit with morbidity.
Volume
44
Issue
6
First Page
440
Last Page
445
ISSN
1938-9116
Published In/Presented At
Kirkwood, M. L., Pochettino, A., Fairman, R. M., Jackson, B. M., Woo, E. Y., & Wang, G. J. (2010). Thoracic aortic endograft explant: a single-center experience. Vascular and endovascular surgery, 44(6), 440–445. https://doi.org/10.1177/1538574410371525
Disciplines
Medicine and Health Sciences
PubMedID
20519282
Department(s)
Department of Medicine, Cardiology Division
Document Type
Article