Troubleshooting techniques for abdominal aortic aneurysm endograft placement: when things go wrong

Endovascular repositioning of a migrated stent graft using "endoanchor capture"

Endovascular aneurysm repair is increasingly used to treat patients harboring abdominal aortic aneurysms with severe comorbidities that make them unfavorable candidates for open repair. Graft-related complications in these patients also require unique solutions. We report the novel technique of "endoanchor capture" for successful repositioning of a migrated stent graft.

Complications and Bail-Out Situations during AAA Endovascular Repair

The endovascular stent-graft is now a universally accepted treatment for abdominal aortic aneurysms but remains nonetheless experimental. There are generic aspects of endograft insertion as well as device specific deployment issues. There are a number of potential procedural complications, related to vascular access and to the deployment sequence. The common technical problems are described and, where possible, the endovascular solutions are outlined.