Totally laparoscopic explantation of migrated stent graft after endovascular aneurysm repair: A report of two cases

• Published in: Journal of vascular surgery 2005-05, Vol.41 (5), p.885-888
• Main Authors: Lin, Judith C., Kolvenbach, Ralf, Wassiljew, Sergej, Pinter, Laszlo, Schwierz, Elisabeth, Puerschel, Ariane
• Format: Article
• Language: English
• Subjects: Aged; Aortic Aneurysm, Abdominal - diagnostic imaging; Aortic Aneurysm, Abdominal - surgery; Aortography; Biological and medical sciences; Blood and lymphatic vessels; Blood Vessel Prosthesis Implantation - adverse effects; Cardiology. Vascular system; Device Removal - methods; Diseases of the aorta; Diseases of the peripheral vessels. Diseases of the vena cava. Miscellaneous; Follow-Up Studies; Foreign-Body Migration - diagnostic imaging; Foreign-Body Migration - etiology; Foreign-Body Migration - surgery; Humans; Laparoscopy - methods; Male; Medical sciences; Reoperation - methods; Surgery (general aspects). Transplantations, organ and tissue grafts. Graft diseases; Suture Techniques; Tomography, X-Ray Computed; Vascular surgery: aorta, extremities, vena cava. Surgery of the lymphatic vessels
• ISSN: 0741-5214; 1097-6809
• DOI: 10.1016/j.jvs.2005.02.034

This report describes the removal of two migrated stent grafts and the repair of abdominal aortic aneurysms by laparoscopic technique. In these two cases, endovascular treatment was not indicated because of device migration into the aneurysm and the presence of thrombus within the endografts. Operative times were 245 and 230 minutes, with aortic clamp times of 95 and 66 minutes. The patients were extubated immediately after the procedure, resumed a normal diet on postoperative day 2, and were discharged home on postoperative days 5 and 6. We believe these are the first reported cases of laparoscopic explantation of migrated aortic stent grafts in the literature.