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Advantages Disadvantages
Avoids placement of foreign body in
infected area
• Not technically feasible for thoracic,
suprarenal, or visceral location or for
emergency use
• Long operating time
• Long-term patency rates low
• Stump blowout
• Limb ischemia, amputation
• Reinfection rate higher than for in situ
reconstruction
• Ischemic colitis
• More versatile than extra-anatomic:
fewer long-term complications, higher
patency rates, lower recurrent infection
rate, shorter operating time
• Polyester grafts
†
available for emergency
surgery
• Selected aortoenteric fistulae
• Theoretical risk of infection because
of interposition of foreign material in
infected site
• Emergency stabilization
• Low early morbidity, mortality
• Less invasive
• No cross-clamping of aorta: spinal cord
injury, reperfusion injury
• Persistent infections and device
infections
• Higher long-term morbidity, mortality
with device retention
• Requires device explanation,
reconstruction
