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Low contrast IVUS guided EVAR workflow

Low contrast IVUS guided EVAR workflow
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Low contrast IVUS guided EVAR workflow - 1

EVAR workflow Quick reference aortic applications 0 Pullback for branch identification 6 7 8 9 and landing zone assessment 16 Identify major branches based on expected 24 anatomy starting with the celiac artery. 25 26 27 28 29 percutaneous or open femoral access. 21 Identify the renal vein and rotate the IVUS 45 46 the 48 vein image so 47 renal49 is at 12 o’clock. This can be done using the IVUS adjust image 55 56 57 58 59 menu. For patients with a renal vein anterior to the renal artery 69 majority), this will 65 66 67 68 (the orient the image so that the 12 o’clock 75 76 77 78 79 position is anterior. Low contrast IVUS guided exchange to a stiff wire can be made through Record a manual pullback, bookmarking 94 the lowest renal artery, aortic bifurcation, 95 96 97 98 99 internal iliac artery, and any other areas of interest, such as any thrombus or calcium that may affect your landing zone. During imaging, mark the fluoro screen or place a needle on the patient’s drape to co-register key IVUS and fluoroscopic locations; for example, just below the lowest renal artery or just above the internal iliac artery. The largest part of the radiopaque IVUS transducer corresponds to the image location. To maintain consistency, the image intensifier should be at the angle to be used for stent-graft depl

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Low contrast IVUS guided EVAR workflow - 2

Main body deployment lowest renal artery as previously marked, per 29 the manufacturer’s instructions for use. and then save the frame for documentation. to ensure 52 wire 54within 56 stent-graft 50 51 the 53 is 55 the 57 58 59 before adding the limb. Observing stent-graft 60 61 62 63 64 65 66 67 68 69 material surrounding the IVUS catheter in the IVUS 71 72 confirms the wire is in the gate. 70 images 73 74 75 76 77 78 79 A small dose of diluted contrast can be hand 49 injected to confirm location of graft relative 59 to the renal artery prior to deployment. 16 Length measurements can be...

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Low contrast IVUS guided EVAR workflow 2Pages

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Low contrast IVUS guided EVAR workflow
2Pages