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Percutaneous Endovascular Aortic Aneurysm Repair with INCRAFT Endograft Guided by CO2 Digital Subtraction Angiography in Patients with Renal Insufficiency

Vascular Specialist International 2020년 36권 1호 p.28 ~ 32
Cuen-Ojeda Cesar, Anaya-Ayala Javier E., Lizola Rene, Navarro-Iniguez Julio A., Luna Lizeth, Guerrero-Hernandez Manuel, Hinojosa Carlos A.,
소속 상세정보
 ( Cuen-Ojeda Cesar ) - Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran Department of Surgery
 ( Anaya-Ayala Javier E. ) - Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran Department of Surgery
 ( Lizola Rene ) - Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran Department of Surgery
 ( Navarro-Iniguez Julio A. ) - Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran Department of Surgery
 ( Luna Lizeth ) - Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran Department of Surgery
 ( Guerrero-Hernandez Manuel ) - Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran Department of Surgery
 ( Hinojosa Carlos A. ) - Instituto Nacional de Ciencias Medicas y Nutricion Salvador Zubiran Department of Surgery

Abstract


Iodinated contrast is the most common contrast agent used during endovascular abdominal aneurysm repair (EVAR). However, its use may worsen kidney function in patients with renal insufficiency. Previous studies have demonstrated the safety and effectiveness of carbon dioxide (CO2)-EVAR. Here, we report cases of three male patients with mild renal insufficiency (mean age: 79 years) that successfully underwent CO2-EVAR using INCRAFT ultra-low profile endografts. CO2 angiography provided the necessary vascular roadmap for safe and effective percutaneous EVAR, eliminating the need for iodinated contrast media and preventing contrast-induced nephropathy.

키워드

Abdominal aortic aneurysm; Endovascular procedures; Carbon dioxide; Contrast media; Nephropathy

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