PREOPERATIVE DIAGNOSIS atelectasis of the left lower lobe the trifurcation vessels and popliteal artery are normal. the remainder of the proximal femoral artery is normal. this creates approximately 40-50% stenosis at this site. On the left there is an eccentric plaque in the common femoral artery just below the catheter entrance site. the trifurcation vessels are unremarkable.
The right superficial femoral, profunda femoral, popliteal arteries are normal. there are high grade stenosis involving both proximal iliacs the right far more pronounced than the left. there are two eccentric plaques arising from the distal aorta just above the iliac bifurcation. there is mild atheromatous change involving the lower abdominal aorta. oblique DSA images of the iliac circulation were performed following two injections, each 15cc.įindings: abdominal aorta no signs of renal artery stenosis. through a right femoral artery access, a 5 French pigtail catheter was placed in the abdominal aorta and a run off was performed following injection of 80 cc of contrast. The skin over the left groin was prepped and draped in a sterile fashion and anesthetized with 1% xylocaine.
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