Feasibility of Intraoperative Fusion Imaging Using Non-Contrast CT Scan for EVAR in Ruptured Abdominal Aortic Aneurysm

Acute renal failure is a frequent major complication (24%) of endovascular repair for ruptured abdominal aneurysm (rAAA). Iodinated contrast media is known to be nephrotoxic. This report describes a case of endovascular aneurysm repair (EVAR) under fusion imaging guidance in a patient diagnosed with...

Descripción completa

Detalles Bibliográficos
Autores: Masana Llimona, Marc, Altés Mas, Pere|||0000-0003-1187-817X, Martínez Carnovale, Lucía, Llagostera Pujol, Secundino|||0000-0003-3895-5761
Tipo de recurso: artículo
Fecha de publicación:2020
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:238611
Acceso en línea:https://ddd.uab.cat/record/238611
https://dx.doi.org/urn:doi:10.1016/j.ejvsvf.2020.03.001
Access Level:acceso abierto
Palabra clave:Acute renal failure
Contrast induced nephropathy
Endovascular aortic repair
Fusion imaging
Ruptured abdominal aortic aneurysm
Descripción
Sumario:Acute renal failure is a frequent major complication (24%) of endovascular repair for ruptured abdominal aneurysm (rAAA). Iodinated contrast media is known to be nephrotoxic. This report describes a case of endovascular aneurysm repair (EVAR) under fusion imaging guidance in a patient diagnosed with a rAAA after non-contrast CT. Written consent was obtained from the patient. A 73 year old patient with stage IV chronic kidney failure and contrast-induced nephropathy was diagnosed with rAAA using non-contrast CT. Subsequently, the patient was treated with EVAR using fusion imaging. EVAR with fusion imaging after non-contrast CT was safe in a patient with rAAA. It could represent an option for patients with acute renal failure in emergency settings.