![Page 1: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/1.jpg)
Tilo Kölbel
German Aortic Center
Dpt. of Vascular Medicine
University Heart Center Hamburg
Friday Afternoon EVAR
![Page 2: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/2.jpg)
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
![Page 3: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/3.jpg)
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,
![Page 4: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/4.jpg)
CT 16.08.2016
![Page 5: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/5.jpg)
CT 16.08.2016
![Page 6: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/6.jpg)
![Page 7: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/7.jpg)
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.
![Page 8: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/8.jpg)
OP 26.08.2016
![Page 9: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/9.jpg)
![Page 10: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/10.jpg)
![Page 11: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/11.jpg)
![Page 12: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/12.jpg)
![Page 13: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/13.jpg)
![Page 14: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/14.jpg)
![Page 15: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/15.jpg)
![Page 16: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/16.jpg)
![Page 17: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/17.jpg)
![Page 18: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/18.jpg)
![Page 19: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/19.jpg)
![Page 20: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/20.jpg)
Graft-edge Renu
![Page 21: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/21.jpg)
![Page 22: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/22.jpg)
![Page 23: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/23.jpg)
![Page 24: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/24.jpg)
![Page 25: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/25.jpg)
![Page 26: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/26.jpg)
![Page 27: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/27.jpg)
![Page 28: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/28.jpg)
![Page 29: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/29.jpg)
![Page 30: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/30.jpg)
![Page 31: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/31.jpg)
![Page 32: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/32.jpg)
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
![Page 33: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/33.jpg)
Postop CT 31.08.2017
![Page 34: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/34.jpg)
Postop CT 31.08.2017
![Page 35: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/35.jpg)
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
![Page 36: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/36.jpg)
CT 13.09.2016
![Page 37: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/37.jpg)
CT 13.09.2016
![Page 38: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/38.jpg)
Discharge 14.09.2016
No claudication
Crea 1.3 mg/dl
![Page 39: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/39.jpg)
FU 05.10.2016
Ambulatory pain both hips from 80m
Hometrainer 20min without pain
BP stabile
ABP Index bil.>1
CTA planned April 2017
![Page 40: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/40.jpg)
![Page 41: Friday Afternoon EVAR · 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,](https://reader034.vdocument.in/reader034/viewer/2022042100/5e7c7066d134df2adf54a9f0/html5/thumbnails/41.jpg)
Tilo Kölbel
German Aortic Center
Dpt. of Vascular Medicine
University Heart Center Hamburg
Friday Afternoon EVAR