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Embolization as cause of bowel ischemia after endovascular abdominal aortic aneurysm repair  Wayne W. Zhang, MD, Mahmoud N. Kulaylat, MD, Paul M. Anain,

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Presentation on theme: "Embolization as cause of bowel ischemia after endovascular abdominal aortic aneurysm repair  Wayne W. Zhang, MD, Mahmoud N. Kulaylat, MD, Paul M. Anain,"— Presentation transcript:

1 Embolization as cause of bowel ischemia after endovascular abdominal aortic aneurysm repair 
Wayne W. Zhang, MD, Mahmoud N. Kulaylat, MD, Paul M. Anain, MD, Hasan H. Dosluoglu, MD, Linda M. Harris, MD, Gregory S. Cherr, MD, Merril T. Dayton, MD, Maciej L. Dryjski, MD, PhD  Journal of Vascular Surgery  Volume 40, Issue 5, Pages (November 2004) DOI: /j.jvs Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

2 Fig 1 Computed tomography scans show thrombus or atheroma in proximal neck of abdominal aortic aneurysm (arrows; A), and thrombus or atheroma in bilateral iliac arteries (arrows; B). These are possible sources of microembolization during endovascular aneurysm repair. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions

3 Fig 2 Thrombus or atheroma in aneurysm neck is dislodged while deploying the graft, and debris is flushed upstream into superior mesenteric artery by blood flow turbulence caused by guide wire manipulation, graft deployment, and balloon dilation. Journal of Vascular Surgery  , DOI: ( /j.jvs ) Copyright © 2004 The Society for Vascular Surgery Terms and Conditions


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