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