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Post-op Diagnosis
* Abdominal aortic aneurysm without rupture (CMS/HCC) [I71.4]
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Procedure(s) (LRB):
ENDOVASCULAR REPAIR OF ABDOMINAL AORTA ANEURYSM (N/A)
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Surgical Procedure:
Under ultrasound guidance bilateral common femoral artery was accessed with a micropuncture catheter set. Ultrasound confirmed common femoral access. J wires was advanced into the aorta. 6F sheaths were advanced over the J wires. Bilateral Perclose devices were used to preclose the arteriotomies. 8 F sheaths were advanced into the aorta.
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The patient was heparinized w/ a bolus of 100units/kg of heparin to achieve a goal ACT of >250 seconds. Gore Dryseal sheaths were inserted over stiff wires into the aorta.
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A Gore Excluder (31×14.5×17) was deployed from the right iliac access. The contralateral gate was cannulated and the left iliac bifurcation was identified and measured from the flow divider. The contralateral limb was deployed.
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The ipsilateral limb was deployed. An iliac extension limb (14.5×7) was required to bring the seal to the iliac bifurcation on the right.
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Balloon angioplasty of the proximal seal and bilateral limbs was performed.
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Followup angiography demonstrated excellent seal without evidence of type 1a, 1b, type 2 or type 3 endoleak.
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