PMC8352712_01
Abdominopelvic CT scan without contrast before AAA repair operation.
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fig1
The patient developed with abdominal pain and raising serum creatinine (2.6 mg/dl), and abdominopelvic sonography revealed normal transplanted kidney with a large infrarenal abdominal aortic aneurysm (anterioposterior diameter of 55 mm) which did not involve the iliac arteries, and then, computed tomography (CT) scan without contrast confirmed the diagnosis (Figures 1-3).
Abdominopelvic CT scan without contrast before AAA repair operation.
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fig2
The patient developed with abdominal pain and raising serum creatinine (2.6 mg/dl), and abdominopelvic sonography revealed normal transplanted kidney with a large infrarenal abdominal aortic aneurysm (anterioposterior diameter of 55 mm) which did not involve the iliac arteries, and then, computed tomography (CT) scan without contrast confirmed the diagnosis (Figures 1-3).
Abdominopelvic CT scan without contrast before AAA repair operation.
CRIVAM2021-6655660.003.jpg
PMC8352712_01_CRIVAM2021-6655660.003.jpg
fig3
The patient developed with abdominal pain and raising serum creatinine (2.6 mg/dl), and abdominopelvic sonography revealed normal transplanted kidney with a large infrarenal abdominal aortic aneurysm (anterioposterior diameter of 55 mm) which did not involve the iliac arteries, and then, computed tomography (CT) scan without contrast confirmed the diagnosis (Figures 1-3).
Intraoperative photography of the brachial sheath (white arrow) and femoral sheath (red arrow) used for brachiofemoral shunt during the operation.
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fig4
For renal allograft protection, at first, a short 5 Fr CSI (Cordis AVANTI + Sheath Introducer, USA) was inserted in the right brachial artery, and then, a 65 cm 7 Fr percutaneous CSI (Epsylar-Optimed, Germany) was placed in the aortic arch under fluoroscopy on the guide of a stiff wire (Amplatz wire, Cordis, USA) via the brachial access, and an 11 cm 8 Fr CSI (Cordis AVANTI + Sheath Introducer, USA) was inserted in the right external iliac via the common femoral artery through a percutaneous procedure and was fixed (Figure 4).