Fig 11.

These custom-made endograft extractors were designed specifically to remove the suprarenal component of selected endografts. (A) The ring is positioned around the body of the graft and (B) advanced in a cranial direction until the suprarenal component is (C) completely disengaged from the aortic wall. Others have suggested the use of the barrel of an appropriate syringe in a similar maneuver. (See¹⁷ for use of syringe barrel technique for safe removal of an aortic endograft with suprarenal fixation.)