Operative Report

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  • Topic: Femoral artery, Arteries of the abdomen, External iliac artery
  • Pages : 4 (1115 words )
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  • Published : February 4, 2013
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OPERATIVE REPORT

Zaleski, Jeff
0539786
Dr. Reyes, MD
January 23, 20—

PREOPERATIVE DIAGNOSIS
Abdominal aortic aneurysm

POSTOPERATIVE DIAGNOSIS
Abdominal aortic aneurysm

PROCEDURE
Repair of abdominal aortic aneurysm using an endoluminal Ancure device 26 x 16

SURGEON: Melda Riviera, MD

ENDROVENTIONAL RADIOLOGIST: Catherine Watson, MD

ANESTHESIA
General

PROCEDURE IN DETAIL
The patient was kept on the operating table and general anesthesia was given. Foley catheter was introduced and connected to gravity drainage bag. A-line was placed. Abdomen was then prepped and draped in the usual fashion extending from nipples up to the mid-thighs. Groin towel was placed and secured in place with the help of staples. Vertical incision was made in the right groin at the palpable sensations of the common femoral arteries. The skin and subcutaneous tissues were cut in the line of incision. Bleeding points encountered were coagulated with the help of Bovie. Approximately 1.5 inch of the common femoral artery was dissected free and encircled with the help of vessel loops. A second identical incision was made on the left side over the palpable pulsation of the left femoral artery. Skin and subcutaneous tissues were cut in the line of incision and bleeding points encountered were coagulated with the help of Bovie. Common femoral artery was dissected free and encircled with the help of vessel loops. 5000 units of heparin were given intravenously. Both the vessels were entered using 18-gauge Angiocath and 0.035 glide wires were placed on both sides. A 7-French sheath was placed. Angiograms were performed from both sides to identify the iliac anatomy. They looked like normal non-torturous fairly largely sized iliac arteries. At this time the guide wire was advanced superiorly into the aorta using a 5-french guide and angioscale. An angiogram was performed. We identified the openings of both renal arteries and the aneurysm was clearly identified and so was...
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