Richard A. Baum, MDa, Jeffrey P

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Presentation transcript:

Aneurysm sac pressure measurements after endovascular repair of abdominal aortic aneurysms Richard A. Baum, MDa, Jeffrey P. Carpenter, MDb, Constantin Cope, MDa, Michael A. Golden, MDb, Omaida C. Velazquez, MDb, David G. Neschis, MDb, Marc E. Mitchell, MDb, Clyde F. Barker, MDb, Ronald M. Fairman, MDb Journal of Vascular Surgery Volume 33, Issue 1, Pages 32-41 (January 2001) DOI: 10.1067/mva.2001.111807 Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 Systemic pressure in a lumbar endoleak through translumbar puncture. A, CT angiography in lower abdomen shows endoleak (arrow ) in right lateral portion of aneurysm sac. B, Direct translumbar catheterization (TLC ) and angiography of the endoleak (E ) show several draining lumbar arteries (LA ). C, Systemic pressure is measured from within lumbar endoleak. Journal of Vascular Surgery 2001 33, 32-41DOI: (10.1067/mva.2001.111807) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 Systemic pressure in IMA endoleak. A, A transarterial catheter (arrow ) is placed through the IMA and into an endoleak (E ) via the SMA. B, Systemic pressure is measured from within IMA endoleak. IMA, Inferior mesenteric artery. Journal of Vascular Surgery 2001 33, 32-41DOI: (10.1067/mva.2001.111807) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 Translumbar embolization of a lumbar endoleak. A, Translumbar endoleak angiogram through a 5F catheter (TLC ) in the anteroposterior projection. B, Systemic pressure is measured from within IMA endoleak. C, The endoleak pressure falls to 25 mm Hg after translumbar embolization. E, Endoleak; IMA, inferior mesenteric artery. Journal of Vascular Surgery 2001 33, 32-41DOI: (10.1067/mva.2001.111807) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 4 Type 1 endoleak angiogram. A, Contrast angiography in the anteroposterior projection shows type 1 endoleak (E ). B, Angiogram from within endoleak shows a draining lumbar artery (LA ). Journal of Vascular Surgery 2001 33, 32-41DOI: (10.1067/mva.2001.111807) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 5 Intra-aneurysm sac injection after endovascular repair of AAA (L). Contast injection through a 5F intrasac catheter 30 hours after uniiliac stent graft repair of AAA shows multiple patent lumbar arteries. Systemic pressure was measured from within the sac (S). The patient had a negative result from CT scan 30 minutes before angiogram. Journal of Vascular Surgery 2001 33, 32-41DOI: (10.1067/mva.2001.111807) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions