Fenestrated endovascular aortic repair of a superior mesenteric artery aneurysm using carbon dioxide angiography and intravascular ultrasound

Autor: Darren Van Essen, BSc, Sarah M. Taylor, BSc, Lavraj Lidher, BSc (Hons), Jeffrey G. Grab, MD, Henry Walton, MD, Jeffery A. Clark, MD, FRCSC
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: Journal of Vascular Surgery Cases and Innovative Techniques, Vol 10, Iss 2, Pp 101355- (2024)
Druh dokumentu: article
ISSN: 2468-4287
DOI: 10.1016/j.jvscit.2023.101355
Popis: Superior mesenteric artery aneurysms are rare; however, current guidelines suggest they all require repair due to the high rupture and mortality rates, and endovascular repair is an effective management strategy. Iodinated contrast traditionally used in endovascular repair can cause significant complications, including severe allergic reactions and contrast-induced nephropathy in patients with chronic renal disease. Therefore, other imaging methods should be used during endovascular procedures to reduce these risks. We describe a unique and innovative approach using carbon dioxide angiography and intravascular ultrasound during fenestrated endovascular repair of an uncommon superior mesenteric artery aneurysm in a patient with severe contrast allergies.
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