K. Sharma, T. Babrowski, R. Milner EJVES Short Reports

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Presentation transcript:

A Novel Chimney Approach for Management of Horseshoe Kidney During EVAR K. Sharma, T. Babrowski, R. Milner EJVES Short Reports Volume 33, Pages 16-19 (January 2016) DOI: 10.1016/j.ejvssr.2016.08.001 Copyright © 2016 The Author(s) Terms and Conditions

Figure 1 Horseshoe kidney classification system based on the vasculature supplying the horseshoe kidney.5 EJVES Short Reports 2016 33, 16-19DOI: (10.1016/j.ejvssr.2016.08.001) Copyright © 2016 The Author(s) Terms and Conditions

Figure 2 Dyna computed tomography scan demonstrating a large inferior mesenteric artery near the origin of the abdominal aortic aneurysm. The complex renal artery anatomy can be visualized as well. EJVES Short Reports 2016 33, 16-19DOI: (10.1016/j.ejvssr.2016.08.001) Copyright © 2016 The Author(s) Terms and Conditions

Figure 3 Completion angiogram after placement of inferior mesenteric artery chimney stent and EVAR. There is no evidence of endoleak and the inferior mesenteric artery stent is widely patent. EJVES Short Reports 2016 33, 16-19DOI: (10.1016/j.ejvssr.2016.08.001) Copyright © 2016 The Author(s) Terms and Conditions

Figure 4 Cross-sectional imaging that demonstrates the interaction between the inferior mesenteric artery chimney stent and the proximal EVAR fixation. →: The location of the IMA chimney stent in front of the EVAR graft. EJVES Short Reports 2016 33, 16-19DOI: (10.1016/j.ejvssr.2016.08.001) Copyright © 2016 The Author(s) Terms and Conditions

Figure 5 Computed tomography angiography (CTA) reconstruction demonstrating widely patent inferior mesenteric artery stent on 3-month follow-up CTA. EJVES Short Reports 2016 33, 16-19DOI: (10.1016/j.ejvssr.2016.08.001) Copyright © 2016 The Author(s) Terms and Conditions

Figure 6 Type II endoleak arising from the right side of the horseshoe kidney. (A–C) The course of this artery leading to the endoleak. The partial nephrectomy resolved this problem. EJVES Short Reports 2016 33, 16-19DOI: (10.1016/j.ejvssr.2016.08.001) Copyright © 2016 The Author(s) Terms and Conditions