dancing coils
TRANSCRIPT
DANCING COILS
DR KIRAN DAVE VASCULAR AND ENDO VASCULAR SPECIALIST
AHMEDABAD
ILIAC ANEURYSM
65 YEAR OLD MALE PATIENT
HYPERTENSIVE
ABDOMINAL PAIN SINCE 2 DAYS
USG – RETROPEROTONEAL HAEMATOMA
CT ABDOMEN
RUPTURED RT ILIAC ANEURYSM
LARGE 15X 12 CM HAEMATOMA
ECTATIC LT ILAC ARTERIES
TREATMENT
EMERGENCY LAPAROTOMYLIGATION OF COMMON ILIAC ORIGIN AND
COMMON FEMORAL VESSELSAORTOBIFEMORAL GRAFTUNEVENTFULL POST OP RECOVERYCOMING FOR REGULAR FOLLOW UP
AFTER THREE YEARS
PRESENTED WITH SIMILAR COMPLAIN OF ABDOMINAL PAIN
EXAMINATION REVEALED PULSATILE MASS IN RIF
DOPPLER CONFIRMED LARGE ANEURYSM WITH ARTERIAL FLOW
CT ANGIO FILLING OF LARGE ANEURYSM IN RIF
GRAFT FLOW NORMAL
RETROGRADE FILLING FROM COLLATERAL VESSELS OF EIA
TREATMENT
COIL EMBOLISATION WAS PLANNED
US GUIDED PUNCTURE OF CFA ABOVE THE DISTAL ANASTOMOSIS
ANGIOGRAPHY
DANCING COIL IN EIA
TWO DANCING COILS
THREE DANCING COILS
AFTER 10 MINUTES
AFTER 15 MINUTES
COIL STABILISATION
END RESULT
DISCUSS
LIGATION OF INTERNAL ILIAC WAS NOT DONE
SIZE OF COILS
OTHER MATERIAL - GLUE
THANK YOU
FOOTBALL LILLY – THIS BLOOMS IN 3 RD WEEK OF JULY