Sandwich EVAR occludes Celiac and Superior Mesenteric Artery for Infected Suprarenal Abdominal Aortic Aneurysm Treatment

Figure 3

Intraoperative angiogram shows suprarenal saccular aneurysm with nearly occluded celiac and superior mesenteric artery (a). Large patent of inferior mesenteric artery gives blood supply to whole abdomen (b). Endoleak type III from left gutter (c). Extended gutter and coil embolization between left renal stent and aortic stent (d).

(a)

(b)

(c)

(d)