The average volume of iodinated contrast agent used for
intraoperative imaging during EVAR for rAAA ranged from
100 to 200 mL.10-12 The procedure reported here required
only 30 mL of iodinated contrast for the final completion
angiography. A final angiogram using only 15 to 20 mL of
contrast medium could have been performed, but at the
beginning of our experience for emergency cases, we
preferred to have a best-quality image to confirm successful
endograft deployment and aneurysm exclusion. We believe
that a final control angiogram remained necessary for
rAAA repair to check total exclusion of the aortic aneurysm
and avoid a postoperative death from a missed endoleak.
Given this, image fusion, has the potential to reduce postoperative
renal dysfunction and may confer a benefit to patients
for short-term and long-term outcomes.