Endovascular repair of a transplant renal artery anastomotic pseudoaneurysm using the snorkel technique Haijie Che, MD, Changping Men, MD, Mu Yang, MD,

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Presentation transcript:

Endovascular repair of a transplant renal artery anastomotic pseudoaneurysm using the snorkel technique Haijie Che, MD, Changping Men, MD, Mu Yang, MD, Juwen Zhang, MD, Ping Chen, MD, Jun Yong, MD Journal of Vascular Surgery Volume 60, Issue 4, Pages 1052-1055 (October 2014) DOI: 10.1016/j.jvs.2013.07.016 Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 1 A, A computed tomography angiography (CTA) reveals a pseudoaneurysm (black arrow), 4 cm in maximal diameter. B, A three-dimensional reconstruction of the CTA clearly shows the location of the pseudoaneurysm. C, Three-dimensional rotational angiography reveals the characteristics of the local pseudoaneurysm (white arrow) and the adjacent artery diameter. Journal of Vascular Surgery 2014 60, 1052-1055DOI: (10.1016/j.jvs.2013.07.016) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 2 The details of the arterial anatomy and the position of the covered stents are shown. The parallel covered stents were used as a “snorkel” in the transplant renal artery (TRA) to exclude the aneurysm. The arrows indicate the direction of the blood flow. Inset, The duplex subtraction angiography (DSA) reveals the pseudoaneurysm has disappeared, with flow preserved to the transplanted kidney and the right lower extremity. CIA, Common iliac artery; EIA, external iliac artery; IIA, internal iliac artery. Journal of Vascular Surgery 2014 60, 1052-1055DOI: (10.1016/j.jvs.2013.07.016) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 3 A postoperative angiogram reveals the complete exclusion of the aneurysm sac and preserved flow to the transplant renal artery (TRA) and right lower extremity. Inset, Duplex subtraction angiography (DSA) shows the same location before the operation. Journal of Vascular Surgery 2014 60, 1052-1055DOI: (10.1016/j.jvs.2013.07.016) Copyright © 2014 Society for Vascular Surgery Terms and Conditions