| Autor: |
Serkan Mola, Goktan Askin, Bahadir Aytekin, Sabir Hasanzade, Abdullah Kusay Girgin, Naim Boran Tumer, Ertekin Utku Unal, Hakki Zafer Iscan |
| Jazyk: |
angličtina |
| Rok vydání: |
2022 |
| Předmět: |
|
| Zdroj: |
Turkish Journal of Vascular Surgery, Vol 31, Iss 3, Pp 178-85 (2022) |
| Druh dokumentu: |
article |
| ISSN: |
2667-5080 |
| Popis: |
Aim: In our study, we aimed not only if CO2 is a safe and effective vascular roadmap for EVAR procedure instead of ICM but if it is a feasible opportunity for patients with hostile neck anatomy as well. Material and Methods: From January 2019 to July 2022, 42 patients with renal insufficiency had elective EVAR procedures for infrarenal abdominal aortic aneurysm in our Cardiovascular Surgery Clinic with CO2-guided DSA. Results: There were no conversions to open surgery or no need for ICM for the CO2-guided DSA. Technical success for CO2 guidance EVAR was 100% with the second shot. There was no decline in GFR values, only one patient showed transient manifestations of CIN without need for hemodialysis. Conclusion: CO2 DSA is a safe and effective technique that can guide not only the standard but endovascular procedures with a hostile neck for renal insufficiency below the diaphragm allowing virtually unlimited images. With modern automated closed systems, CO2-specific complications will be negligible if the operator has experience with the limitations and contraindications of the technique. [Turk J Vasc Surg 2022; 31(3.000): 178-85] |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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