Selective right aorto-femoral graft angiogram
Endovascular graft placement within the right aortofemoral CryoVein graft – Viabahn 13.0 mm x 10 cm self-expanding covered graft

Operators:
Dr. A
Dr. B

1. Right aortofemoral graft access. Right aortofemoral graft access was obtained via surgical cutdown by Dr. B. Next an 11 French sheath was placed.

1. Selective right aortofemoral graft angiogram. Next a glide catheter was advanced over the wire to the proximal right aortofemoral graft and baseline angiogram was performed. This revealed large pseudoaneurysm of the distal aspect of the graft.

1. Endovascular graft placement within the right aortofemoral CryoVein graft. Next an Amplatz extra stiff wire was placed through the glide catheter and the glide catheter was removed. Next a Viabahn 13.0 mm x 10 cm self-expanding covered graft was advanced to the appropriate location and deployed. Next the Viabahn graft was postdilated with 12.0 mm charger balloon. Final angiogram revealed no residual pseudoaneurysm and no evidence of dissection, perforation or flow limitation. Next the catheter was removed and the 11 French sheath was removed and hemostasis obtained. Surgical cutdown was then closed.

Findings:

Large pseudoaneurysm of the distal aspect of the right aortofemoral CryoVein graft

Conclusions

Successful closure of pseudoaneurysm of right aortofemoral graft with Viabahn 13.0 x 10 cm self-expanding covered endoprosthesis