Carbon dioxide angiography for endovascular grafting in high-risk patients with infrarenal abdominal aortic aneurysms Johannes Gahlen, MDa, Jochen Hansmann,

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Presentation transcript:

Carbon dioxide angiography for endovascular grafting in high-risk patients with infrarenal abdominal aortic aneurysms Johannes Gahlen, MDa, Jochen Hansmann, MDb, Hardy Schumacher, MDa, Robert Seelos, MDa, Götz M. Richter, MDb, Jens R. Allenberg, MDa Journal of Vascular Surgery Volume 33, Issue 3, Pages 646-649 (March 2001) DOI: 10.1067/mva.2001.111746 Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 1 MRI showing infrarenal asymptomatic AAA and polycystic kidneys on both sides. Journal of Vascular Surgery 2001 33, 646-649DOI: (10.1067/mva.2001.111746) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 2 Intraoperative CO2 angiography with transvascularly placed aortic stent graft (bifurcation stent). Journal of Vascular Surgery 2001 33, 646-649DOI: (10.1067/mva.2001.111746) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 3 Postoperative MRI showing a correct transvascularly placed aortic stent (bifurcation stent). Journal of Vascular Surgery 2001 33, 646-649DOI: (10.1067/mva.2001.111746) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions

Fig. 4 Morphometric AAA definitions and possible graft configurations. Type I, proximal neck > 15 mm and distal cuff > 10 mm (tubular endograft); type IIA, proximal neck > 15 mm and AAA down to aortic bifurcation (bifurcated endograft); type IIB, proximal neck > 15 mm and aneurysmal involvement of the proximal common iliac arteries (bifurcated endograft); type IIC, proximal neck > 15 mm and AAA down to the iliac bifurcation (open surgery); type III, proximal neck > 15 mm and distal AAA expansion (open surgery).6 Journal of Vascular Surgery 2001 33, 646-649DOI: (10.1067/mva.2001.111746) Copyright © 2001 Society for Vascular Surgery and The American Association for Vascular Surgery Terms and Conditions