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This 25-minute case concerns a 74-year-old man with an infrarenal abdominal aortic aneurysm that measures 65 mm. The patient is treated with a low profile endograft under local anesthesia and a complete percutaneous approach with pre-closing.
Step-by-Step Procedure:
- Introduction and description of the case
- Selection of aortic endograft and iliac branches
- Right and left femoral percutaneous pre-closing under external echography
- Placement of aortic endograft body
- Placement of the left iliac endograft branch
- Placement of the right iliac endograft branch
- Dilatation of the endograft (aortic and iliac)
- Final results
- Closing of left and right groin and conclusion
Learning points:
- Complete percutaneous approach of right and left femoral access
- Abdominal aortic aneurysm CT scan analysis for aorta and iliac arteries
- Selection of aortic endograft and iliac branches
- Technique of pre-closing under external echography
- Steps for aortic and iliac endograft placement
- Percutaneous closing of large femoral access
Bibliography:
- Aorto-iliac bifurcated stent graft AAA with very tortuous and stenosed iliac arteries. Endurant II stent graft - Video
- Totally percutaneous endovascular abdominal aortic aneurysm repair: 30-day results from the independent access-site closure study of the PEVAR trial - Article
- A Real-World Experience Comparison of Percutaneous and Open Femoral Exposure for Endovascular Abdominal Aortic Aneurysm Repair in a Tertiary Medical Center - Article
- Percutaneous versus femoral cutdown access for endovascular aneurysm repair - Article
- Predictive Factors for Additional ProGlide Deployment in Percutaneous Endovascular Aortic Repair - Article
- Percutaneous endovascular aneurysm repair in morbidly obese patients - Article
Shooting date : 0000-00-00
Last update : 2021-05-11
Last update : 2021-05-11
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Max A. Excellent Step by Step case . Thank U Dr Pratesi & Dr Barbante .
Giovanni P. Thank you Dr Amor for selecting our case as case of the month. Kindest regards, G
Park J. I am from korea. your case show the standard step-by-step EVAR procedure delicately and kindly. next time i hope you make a chance for the standard iliac artery embolization. I want that method from european style. thanks for nice case.
Giovanni P. Thanks Dr Hong. It will be our pleasure...even if internal iliac artery embolization procedure is a very rare procedure in the iliac branch endograft era. Regards, G
dHAMANEKAR M. Good case . With low dose
Giovanni P. Thanks Dr Maruti. Is this your experience also? G
FAROUK E. VERY NICE STEP AND WISE DEPLOYMENT ... WELL DONE SIR ....
aksüyek A. nice case..
Alexandre P. Interesting