Abstract

Since the first endovascular aneurysm repair of abdominal aortic aneurysms in the 1980s, there has not only been exponential growth of procedures performed per year, but also rapid proliferation of stent grafts. With the resultant growth in revision and explant procedures on these grafts, we developed this guide to aid trainees in surgery and radiology in identifying these grafts. Our goal with this spotter's guide is to allow the identification of key features from commonly implanted devices radiographically, such as points of fixation, radiopaque markers, and stent patterns. The operative approach for the treatment of endograft complications, including endoleak embolization, aortic cuff extension, laser fenestration, limb extension, and endograft explant is often dramatically impacted by the type of endograft and its individual device characteristics. The intent of this guide is to aid practitioners in identifying endovascular aneurysm repair endografts of all ages, even those that have not been implanted in years.

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