friday afternoon evar · 25.08.2016 male, 72y referral osh for symptomatic 7cm aaa aaa known 2y...

Tilo Kölbel

German Aortic Center

Dpt. of Vascular Medicine

University Heart Center Hamburg

Friday Afternoon EVAR

Disclosures

Research-grants, travelling, proctoring

speaking-fees, IP, royalties with Cook Medical.

Consultant with Philips

Speaking fees from Getinge

IP, Consultant with Terumo Aortic

Shareholder Mokita-Medical GmbH

25.08.2016

Male, 72y

Referral OSH for symptomatic 7cm AAA

AAA known 2y under US-FU

Left sided abdominal pain for 2d

Art hypertension, non-smoker

AAA 5.2 cm, left CIA 2.6cm, right CIA 2.2cm,

Right HA 4.3cm, left HA 4.8cm,

CT 16.08.2016

CT 16.08.2016

OP 26.08.2016

Staged plan:

1. EVAR, coiling inf. gluteal a.,

IBD left to sup. gluteal a.,

Landing r. CIA 2x24mm ZSLE

2. coiling sup. gluteal a.,

IBD right to inf. gluteal a.

OP 26.08.2016

Graft-edge Renu

Postop

OR time 8:10 h

Fluoro-time 135min;

DAP 28929 cGy/cm2

116ml Visipaque 270

Postop course unremarkable

2d IMC

Abdominal pain relieved

Crea 1.0 mg/dl

Postop CT 31.08.2017

Postop CT 31.08.2017

Open repair 05.09.2016

Exclusion right HA-aneurysm

Retroperitoneal access

CIA to gluteal bifurcation with

6mm Dacron-graft

EIA side-arm with 6mm

Dacron-graft

CT 13.09.2016

CT 13.09.2016

Discharge 14.09.2016

No claudication

Crea 1.3 mg/dl

FU 05.10.2016

Ambulatory pain both hips from 80m

Hometrainer 20min without pain

BP stabile

ABP Index bil.>1

CTA planned April 2017

Tilo Kölbel

German Aortic Center

Dpt. of Vascular Medicine

University Heart Center Hamburg

Friday Afternoon EVAR