Abstract
Endovascular aneurysm repair (EVAR) is a minimally invasive therapeutic method. Iodine contrast medium is necessary and is contraindicated in cases of renal dysfunction or iodine allergy. We encountered a case of ruptured abdominal aortic aneurysm (AAA) treated with EVAR using carbon dioxide (CO2) angiography. An 84-year-old woman was brought to our hospital as a diagnosis of ruptured AAA. Because she had anamnesis of ileus and renal dysfunction, EVAR was performed. Angiography was performed using medical CO2. However, it was impossible to perform EVAR, only using CO2 angiography. CO2 angiography is useful and safe method for patients with renal dysfunction and can increase operative indications of EVAR.
