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Outcomes after Partial Endograft Explantation.

Sean P Steenberge1, Sean P Lyden2, Eric J Turney3

  • 1Cleveland Clinic Lerner College of Medicine of Case Western Reserve University, Cleveland, OH.

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Partial endograft explantation during late conversion of endovascular aneurysm repair (EVAR) is safe. This study found no device-related complications in patients with remaining endograft components after EVAR to open repair conversion.

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Area of Science:

  • Vascular Surgery
  • Endovascular Repair
  • Aortic Aneurysm Management

Background:

  • Late conversion from endovascular aneurysm repair (EVAR) to open repair may involve partial endograft explantation.
  • Evaluating complications and device issues is crucial for this patient group.

Purpose of the Study:

  • To assess aneurysm-related complications and device issues in patients undergoing partial endograft explantation during late EVAR conversion to open repair.

Main Methods:

  • Retrospective analysis of 22 patients between 1999 and 2012 who underwent partial endograft explantation.
  • Review of medical records for demographics, operations, and complications.
  • Analysis of imaging (X-ray, CT) for device integrity and aneurysm status.

Main Results:

  • No graft migrations, component separations, device fractures, or new aneurysmal issues were observed.
  • Median follow-up was 26.5 months.
  • Four in-hospital mortalities occurred, unrelated to remaining device components.

Conclusions:

  • Partial endograft removal during late EVAR conversion is not associated with complications from retained device parts.
  • Further investigation in this patient cohort is warranted.