Novel Technique to Rescue a Folded Aortic Endograft during Endovascular Aneurysm Repair

ABSTRACT

Endovascular aneurysm repair has been established as a safe and effective treatment modality for infrarenal abdominal aortic aneurysms. Although rare, major technical failure can lead to intraoperative surgical conversion, which is associated with high mortality and morbidity rates. We herein report a case in which one of the endograft limbs was folded over on itself within the aneurysmal sac during endovascular aneurysm repair. The aneurysm was successfully repaired by a total endovascular approach using endoscopic grasping forceps without open surgical repair.