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Jornal Vascular Brasileiro

versão impressa ISSN 1677-5449versão On-line ISSN 1677-7301

Resumo

PEDRON, Cleoni et al. Endovascular treatment of abdominal aortic aneurysm in a patient with chronic renal failure. J. vasc. bras. [online]. 2006, vol.5, n.4, pp.325-330. ISSN 1677-5449.  http://dx.doi.org/10.1590/S1677-54492006000400015.

Non-dialytic chronic renal failure is a contraindication related to the endovascular treatment of abdominal aortic aneurysms. The use of alternative contrast agents, such as gadolinium, provides good-quality images and is associated with nephrotoxicity. We report a case of endovascular treatment of an abdominal aortic aneurysm guided by color-flow Doppler ultrasonography. An 82-year-old male patient, with abdominal aortic aneurysm (55 mm in diameter) and creatinine clearance of 17 ml/min, underwent implantation of modular bifurcated aortic stent-graft, using that imaging method associated with radioscopy. Iodinated contrast was not used. The immediate result and 1- and 6-month controls showed complete aneurysm exclusion. Renal function is still unaltered. We conclude that the stent-graft implantation guided by color-flow Doppler ultrasonography in patients with nonterminal chronic renal failure and with favorable anatomy is a feasible and safe method.

Palavras-chave : Endovascular treatment; abdominal aortic aneurysm; renal failure; color-flow Doppler ultrasonography; duplex scan.

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