Development of endotension after multiple rounds of thrombolysis after endovascular aneurysm repair Jessica Belchos, MSc, Mark Wheatcroft, MD, FRCS,

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Presentation transcript:

Development of endotension after multiple rounds of thrombolysis after endovascular aneurysm repair Jessica Belchos, MSc, Mark Wheatcroft, MD, FRCS, Vikramaditya Prabhudesai, MBBS, MS, FRCR, Tony Moloney, MD, FRCS Journal of Vascular Surgery Cases Volume 1, Issue 1, Pages 24-27 (March 2015) DOI: 10.1016/j.jvsc.2015.01.001 Copyright © 2015 Terms and Conditions

Fig 1 a, Completion angiogram at the time of endograft implantation. b, The postoperative axial computed tomography angiography (CTA) displays shrinkage of the aneurysm sac to 5.4 cm. Journal of Vascular Surgery Cases 2015 1, 24-27DOI: (10.1016/j.jvsc.2015.01.001) Copyright © 2015 Terms and Conditions

Fig 2 a, Computed tomography angiography (CTA) axial image shows occlusive thrombus in the right limb (arrow). b, Completion angiogram after the second treatment with thrombolysis shows patent graft limbs. Journal of Vascular Surgery Cases 2015 1, 24-27DOI: (10.1016/j.jvsc.2015.01.001) Copyright © 2015 Terms and Conditions

Fig 3 a, Computed tomography angiography (CTA) shows a marked increase in aneurysm diameter (6.6 cm), with evidence of blood stranding in the retroperitoneum after treatment with thrombolytics. b, Subsequent follow-up duplex ultrasound scan at 29 months after the initial endovascular aneurysm repair (EVAR) implantation of the endograft. Journal of Vascular Surgery Cases 2015 1, 24-27DOI: (10.1016/j.jvsc.2015.01.001) Copyright © 2015 Terms and Conditions