Laparoscopic remodeling of abdominal aortic aneurysms after endovascular exclusion

A technical description

Ralf Kolvenbach, Laslo Pinter, Raghu Motaganahalli, Nick Cheshire, Hussein Ramadan, Yves Marie Dion

Research output: Contribution to journalArticle

53 Citations (Scopus)

Abstract

We report our experience with a novel combined laparoscopic-endovascular procedure to treat endoleaks and graft migration. The operative procedure consisted of the following steps: laparoscopic exposure of the aorta, clipping of lumbar arteries and of the inferior mesenteric artery, incision of the sac of the aneurysm without clamping the aorta, and removal of thrombus material. Laparoscopic sutures were placed externally to attach the endograft to the aortic neck. Laparoscopy was performed a mean interval of 20.2 months after endovascular abdominal aortic aneurysm repair in four cases and immediately after endovascular abdominal aortic aneurysm exclusion in eight consecutive patients. We have yet to prove whether this combined approach is superior to a purely endovascular technique.

Original languageEnglish (US)
Pages (from-to)1267-1270
Number of pages4
JournalJournal of Vascular Surgery
Volume36
Issue number6
DOIs
StatePublished - Dec 1 2002
Externally publishedYes

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Endovascular Procedures
Abdominal Aortic Aneurysm
Aorta
Inferior Mesenteric Artery
Endoleak
Operative Surgical Procedures
Constriction
Laparoscopy
Sutures
Aneurysm
Thrombosis
Arteries
Transplants

ASJC Scopus subject areas

  • Surgery
  • Medicine(all)
  • Cardiology and Cardiovascular Medicine

Cite this

Laparoscopic remodeling of abdominal aortic aneurysms after endovascular exclusion : A technical description. / Kolvenbach, Ralf; Pinter, Laslo; Motaganahalli, Raghu; Cheshire, Nick; Ramadan, Hussein; Dion, Yves Marie.

In: Journal of Vascular Surgery, Vol. 36, No. 6, 01.12.2002, p. 1267-1270.

Research output: Contribution to journalArticle

Kolvenbach, Ralf ; Pinter, Laslo ; Motaganahalli, Raghu ; Cheshire, Nick ; Ramadan, Hussein ; Dion, Yves Marie. / Laparoscopic remodeling of abdominal aortic aneurysms after endovascular exclusion : A technical description. In: Journal of Vascular Surgery. 2002 ; Vol. 36, No. 6. pp. 1267-1270.
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