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Closure of Type I Endoleaks and Landing Zone Preparation of the Thoracic Aorta

^a Division of Thoracic and Cardiovascular Surgery, University of Florida, College of Medicine, Gainesville, Florida
^b Division of Vascular Surgery and Endovascular Therapy, University of Florida, College of Medicine, Gainesville, Florida

Accepted for publication September 18, 2007.

^_* Address correspondence to Dr Hess, Division of Thoracic and Cardiovascular Surgery, University of Florida, College of Medicine, PO Box 100286, 1600 SW Archer Rd, Gainesville, FL 32610 (Email: hesspj{at}surgery.ufl.edu).

Type I endoleaks occasionally persist after endovascular repair of thoracic aneurysms. A technique for repair is described using dimensions obtained from preoperative imaging, in which the aorta is banded at the endograft attachment zone. Aortic remodeling and aortic dimensional stability are the mainstays of the approach. Measured banding has also proved to be useful for the preparation of a landing zone prior to endograft placement during hybrid procedures.

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