Current Endovascular Treatment of Abdominal Aortic Aneurysms by Albert G. Hakaim

By Albert G. Hakaim

Rupture of an belly aortic aneurysm is among the prime factors of dying. the danger of rupture has been a debatable subject for years and only in the near past have population-based reports supplied larger proof for medical management.This publication contains fabric via an the world over popular workforce of experts directed via a renowned vascular doctor at Mayo health center. The contents signify a well-balanced medical endovascular method of the fascinating sector of vascular drugs and surgery.“We live in a interval of fascinating transformation. The message for someone attracted to the therapy of vascular illness is to embody the recent endovascular concepts — research them and enhance them. this is often the start of a brand new era.” A. G. Hakaim

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Extra resources for Current Endovascular Treatment of Abdominal Aortic Aneurysms

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17 Matsumura JS, Ryu RK, Ouriel K. Identification and implications of transgraft microleaks after endovascular repair of aortic aneurysms. J Vasc Surg 2001; 34: 190–7. 18 Engellau L, Larsson EM, Albrechtsson U, Jonung T, Ribbe E, Thorne J et al. Magnetic resonance imaging and MR angiography of endoluminally treated abdominal aortic aneurysms. Eur J Vasc Endovasc Surg 1998; 15: 212–19. Imaging techniques and protocols 41 19 Thurnher SA, Dorffner R, Thurnher MM et al. Evaluation of abdominal aortic aneurysm for stent-graft placement: comparison of gadolinium-enhanced MR angiography versus helical CT angiography and digital subtraction angiography.

7 Preoperative conventional angiogram of aortoiliac vessels. The use of a graduatedmarker catheter provides a practical way to measure length, particularly when the vessels are tortuous. In the absence of tortuosity, most patients do not need a preoperative angiogram, and a computed tomographic scan will suffice for procedural planning. (a) Measurement of the aorta from the renal arteries to the bifurcation. (b) Measurement of the common iliac arteries from the origin to the bifurcation. of the length from the most distal renal artery to the aortic bifurcation and the length of the common iliac arteries [14].

The postcontrast scan is performed as previously described for preoperative evaluation. An additional delayed postcontrast scan at 90 s is added to the protocol for detection of delayed endoleaks [1,2]. Noncontrast images do not necessarily need to be reacquired with each new postoperative scan. Baseline noncontrast studies obtained during the preoperative evaluation and first postoperative evaluation are adequate for documentation of the vascular calcification pattern [3]. Interpretation is best accomplished on an imaging workstation.

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