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Cesar Cuen-Ojeda,Javier E. Anaya-Ayala,Rene Lizola,Julio A. Navarro-Iniguez,Lizeth Luna,Manuel Guerrero-Hernandez,Carlos A. Hinojosa 대한혈관외과학회 2020 Vascular Specialist International Vol.36 No.1
Iodinated contrast is the most common contrast agent used during endovascular abdominal aneurysm repair (EVAR). However, its use may worsen kidney function in patients with renal insufficiency. Previous studies have demonstrated the safety and effectiveness of carbon dioxide (CO2)-EVAR. Here, we report cases of three male patients with mild renal insufficiency (mean age: 79 years) that successfully underwent CO2-EVAR using INCRAFT ultra-low profile endografts. CO2 angiography provided the necessary vascular roadmap for safe and effective percutaneous EVAR, eliminating the need for iodinated contrast media and preventing contrastinduced nephropathy.
Left Common Femoral to Right Common Iliac Venous Bypass Through a Retroperitoneal Exposure
Cesar Cuen-Ojeda,Luis O Bobadilla-Rosado,Ramon Garcia-Alva,Luis H. Arzola,Javier E. Anaya-Ayala,Carlos A. Hinojosa 대한혈관외과학회 2018 Vascular Specialist International Vol.34 No.4
The endovascular recanalization of the iliocaval system has replaced venous surgical reconstructions as the primary treatment option in severe post-thrombotic syndrome (PTS). We herein present a 51-year-old female with previous deep venous thrombosis, complicated with PTS with a large and complex circumferential calf ulcer measuring 25 cm of length in the left lower extremity. Venogram revealed a complete and extensive occlusion in the left iliofemoral system. A surgical bypass from the left common femoral vein to the right common iliac vein was performed. Patient recovered well and after 12 months postoperation her large wound is healing favorably with a clean and well granulated bed. Iliofemoral venous bypass is a feasible treatment for non-healing ulcer of lower extremity.
Successful Treatment of a Superficial Femoral Artery Pseudoaneurysm with Balloon Tamponade
Hugo Laparra-Escareno,Cesar Cuen-Ojeda,Ramon García-Alva,Gabriel Lopez-Pena,Javier E. Anaya-Ayala,Carlos A. Hinojosa 대한혈관외과학회 2019 Vascular Specialist International Vol.35 No.3
The development of post-catheterization arterial pseudoaneurysms is one of the most common vascular access complications following angiographies and endovascular interventions. Different therapeutic options to treat these lesions have been used. We herein report the case of a 79-year-old woman who was referred to our service for evaluation with a post-catheterization superficial femoral artery pseudoaneurysm measuring 4 cm. Owing to the anatomical location of the arterial pseudoaneurysm and the patient’s refusal to undergo open surgery, we treated the lesion using an endovascular approach with a balloon tamponade. The procedure was successful, and the patient recovered well and was discharged from the hospital without complications. At 6-month follow-up she remained symptom-free and without recurrence.