Total robotic ligation of inferior mesenteric artery for type II endoleak after endovascular aneurysm repair.
Publication/Presentation Date
3-1-2009
Abstract
We present a case of totally robotic ligation of the inferior mesenteric artery (IMA) for treatment of a persistent endoleak from the IMA into the aneurysm sac after endovascular aneurysm repair (EVAR). An 84-year-old male underwent EVAR with a Gore Excluder stent graft for an asymptomatic infrarenal abdominal aortic aneurysm. Follow-up computed tomographic (CT) scan showed persistent type II endoleak from the IMA, with progressive enlargement of the aneurysm sac from 5 to 6.1 cm over an 18-month period. In this case, the patient underwent ligation of the IMA using the da Vinci Surgical System for the treatment of retrograde flow into the aneurysm sac. The total operating time was 249 min; of this, the robotic assistance time was approximately 180 min. No intraoperative complications occurred. The estimated blood loss was 50 mL and the urine output 650 mL. The patient was extubated immediately after the procedure and tolerated a regular diet the following day. He was discharged home with a urinary catheter on postoperative day 2. CT scan postoperatively and at 3-month follow-up demonstrated an occluded IMA and stabilization of the aneurysm sac size.
Volume
23
Issue
2
First Page
19
Last Page
21
ISSN
1615-5947
Published In/Presented At
Lin, J. C., Eun, D., Shrivastava, A., Shepard, A. D., & Reddy, D. J. (2009). Total robotic ligation of inferior mesenteric artery for type II endoleak after endovascular aneurysm repair. Annals of vascular surgery, 23(2), . https://doi.org/10.1016/j.avsg.2008.02.019
Disciplines
Business Administration, Management, and Operations | Health and Medical Administration | Management Sciences and Quantitative Methods
PubMedID
18411030
Department(s)
Administration and Leadership
Document Type
Article