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Open aneurysm repair at an endovascular center: value of a modified retroperitoneal approach in patients at high risk with difficult aneurysms  Palma.

Published byCody Claud Bryant Modified over 6 years ago

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Presentation on theme: "Open aneurysm repair at an endovascular center: value of a modified retroperitoneal approach in patients at high risk with difficult aneurysms  Palma."— Presentation transcript:

1 Open aneurysm repair at an endovascular center: value of a modified retroperitoneal approach in patients at high risk with difficult aneurysms  Palma M Shaw, MD, Frank J Veith, MD, Evan C Lipsitz, MD, Takao Ohki, MD, William D Suggs, MD, Manish Mehta, MD, Katherine Freeman, DrPH, Jamie McKay, RN, George L Berdejo, RVT, Reese A Wain, MD, Nicholas J Gargiulo III, MD  Journal of Vascular Surgery  Volume 38, Issue 3, Pages (September 2003) DOI: /S (03)

2 Fig 1 Hostile abdomen, and 6.5 cm abdominal aortic aneurysm, 6.0 cm right common iliac aneurysm, and 4.5 cm left common iliac aneurysm. All aneurysms were successfully treated with a modified retroperitoneal approach. The patient’s head is to the right. Journal of Vascular Surgery  , DOI: ( /S (03) )

3 Fig 2 Computed tomography scan of abdomen of patient with a 7.5 cm pararenal abdominal aortic aneurysm and large ventral hernia containing most of the abdominal viscera. The aneurysm was successfully repaired via a modified retroperitoneal approach. Journal of Vascular Surgery  , DOI: ( /S (03) )

4 Fig 3 Positioning for modified retroperitoneal approach in an obese patient. Note anatomic landmarks drawn on skin. Journal of Vascular Surgery  , DOI: ( /S (03) )

5 Fig 4 Graph shows increasing use of retroperitoneal approach for open repair of abdominal aortic aneurysm over 6 years. Journal of Vascular Surgery  , DOI: ( /S (03) )

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