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The average volume of iodinated contrast agent used forintraoperative imaging during EVAR for rAAA ranged from100 to 200 mL.10-12 The procedure reported here requiredonly 30 mL of iodinated contrast for the final completionangiography. A final angiogram using only 15 to 20 mL ofcontrast medium could have been performed, but at thebeginning of our experience for emergency cases, wepreferred to have a best-quality image to confirm successfulendograft deployment and aneurysm exclusion. We believethat a final control angiogram remained necessary forrAAA repair to check total exclusion of the aortic aneurysmand avoid a postoperative death from a missed endoleak.Given this, image fusion, has the potential to reduce postoperativerenal dysfunction and may confer a benefit to patientsfor short-term and long-term outcomes.
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