Video 1
Non-remedial type 1 endoleaks or graft infections. https://www.youtube.com/watch?v=IjCNBZyjVb8&t=3186s.
Table 1
Techniques for embolizing type 2 endoleaks.
Transarterial:
|
| Perigraft |
| Transgraft |
| Transcaval |
| Translumbar |
| Transabdominal |
Video 2
(at 2 minutes, 17 seconds) shows an aneurysm being opened; see also at https://www.youtube.com/watch?v=w-2iuAFrFH4.
Table 2
Strategies for dealing with late complications of endografts.
| No graft explant | Type 2 endoleaks |
| Partial graft explant | Sew to proximal or iliac remnants retention of suprarenal bare metal stent |
| Total graft explantation |
Video 3
(at 4 minutes, 12 seconds) shows the technique for graft removal; see also at https://www.youtube.com/watch?v=jNxe1hP6FF4.
Video 4
(at 7 minutes, 9 seconds) shows the technique for obtaining supraceliac control; see also at https://www.youtube.com/watch?v=D8oOjt1X_Ns.
Video 5
(6 minutes, 16 seconds) depicts a technique for using a transected syringe to advance into the aorta and attempt to remove any super real barbs; see also at https://www.youtube.com/watch?v=ql409_cBJ7c&t=33s.
Video 6
(at 1 minute and 49 seconds) shows cryopreserved aortic graft; see also at https://www.youtube.com/watch?v=3Cpm7Bz_sRQ.
Video 7
(at 5 minutes and 31 seconds) shows autogenous femoral vein graft; see also at https://www.youtube.com/watch?v=tPyQqO0Q9iU.
Video 8
(at 5 minutes, 7 seconds) shows how to create an omental flap; see also at https://www.youtube.com/watch?v=GnG0WoOLvHY&t=31s.
Table 3
Rifampin protocol.
| 600 mg rifampin in 500 mL saline |
| Ensure completely dissolved |
| Soak graft for 45 minutes |
Video 9
(at 3 minutes, 45 seconds) demonstrates oversew of the aortic stump; see also at https://www.youtube.com/watch?v=Z6WKuPFYnbQ.
Table 4
Adjunctive techniques.
| Hepatorenal/splenorenal |
| Abdominal debranching |
| Ascending aorta to visceral bypass |
| Oversew stump - axillobifemoral bypass |
| Endograft puncture and proximal balloon control |
Table 5
Reconstructive options.
| In situ reconstruction |
|
| Extraanatomical | Axillo femoral bypass, oversew aortic stump |
Video 10
(at 1 minute, 54 seconds) shows graft explantation in the thoracic aorta; see also at https://www.youtube.com/watch?v=uDtK3Be6P84.
Table 6
Aortic videos. EVAR: endovascular aneurysm repair; TEVAR: thoracic endovascular aortic repair