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

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 comp...

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Bibliographic Details
Published in:Journal of vascular surgery cases and innovative techniques 2024-04, Vol.10 (2), p.101355, Article 101355
Main Authors: Van Essen, Darren, Taylor, Sarah M., Lidher, Lavraj, Grab, Jeffrey G., Walton, Henry, Clark, Jeffery A.
Format: Article
Language:English
Subjects:
Carbon dioxide angiography
Case report
Contrast allergy
Fenestrated endovascular aortic repair
Intravascular ultrasound
Superior mesenteric artery aneurysm
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Summary: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.
ISSN:2468-4287
2468-4287
DOI:10.1016/j.jvscit.2023.101355