EURORAD ESR

Case 535

Endoluminal exclusion of an infrarenal abdominal aneurysm by a ePTFE stentgraft

Author(s)
D.Vorwerk
 
Patient
male, 63 year(s)
 
 
  • Figure 1
    CT-angiography

    Contrast-enhanced CT-angiography shows a 4 cm diameter infrarenal aortic aneurysm

     
    Area of Interest: unknown; Imaging Technique: CT-angiography;
     
     
  • Figure 2
    Angiography

    Intraarterial aortography shows an aneurysm of the distal portion of the infrarenal aorta with a long neck to the renal arteries but extension over the aortic bifurcation

     
    Area of Interest: unknown; Imaging Technique: Angiography;
     
     
  • Figure 3
    Placement of the stent graft
     

    The non-deployed stentgraft at the level of the renal arteries. For deployment it was slightly retrieved

     
    Area of Interest: unknown; Imaging Technique: Placement of the stent graft;

    After deployement, the proximal end of the stent graft is well located distally to the renal arteries

     
    Area of Interest: unknown; Imaging Technique: Placement of the stent graft;

    After complete deployement and delivery of the second limb, aortography shows patency of the graft, successful exclusion of the aneurysm and no leak at the proximal end

     
    Area of Interest: unknown; Imaging Technique: Placement of the stent graft;

    Retrograde angiography of the right iliac limb proves absence of a distal leak

     
    Area of Interest: unknown; Imaging Technique: Placement of the stent graft;

    Same findings also on the left side

     
    Area of Interest: unknown; Imaging Technique: Placement of the stent graft;
     
     
  • Figure 4
    Control CT-angiography

    Contrast-enhanced CT of the endograft proves successful exclusion of the aneurysm and absence of leakage

     
    Area of Interest: unknown; Imaging Technique: Control CT-angiography;
     
     
Contrast-enhanced CT-angiography shows a 4 cm diameter infrarenal aortic aneurysm
 
Intraarterial aortography shows an aneurysm of the distal portion of the infrarenal aorta with a long neck to the renal arteries but extension over the aortic bifurcation
 
The non-deployed stentgraft at the level of the renal arteries. For deployment it was slightly retrieved
 
After deployement, the proximal end of the stent graft is well located distally to the renal arteries
 
After complete deployement and delivery of the second limb, aortography shows patency of the graft, successful exclusion of the aneurysm and no leak at the proximal end
 
Retrograde angiography of the right iliac limb proves absence of a distal leak
 
Same findings also on the left side
 
Contrast-enhanced CT of the endograft proves successful exclusion of the aneurysm and absence of leakage
 
 
 
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