Abstract

We obtained angiograms on 61 consecutive patients being evaluated for elective aneurysmorrhaphy at the Gainesville VA Medical Center, Gainesville, Florida. Renal artery stenosis was documented in 33% of cases, aberrant or multiple renal arteries in 26%, and other aneurysmal disease, most commonly in the iliac system, was present in 51%. Occlusive disease was common (30%). In 72% of patients, the preoperative angiogram affected the operative plan. Only one complication was recorded, a retroperitoneal hematoma from catheter perforation. The results correlate well with previously published reports. We conclude that a significant majority of patients having abdominal aortic aneurysm have angiographic abnormalities. In a majority of these patients, the angiogram altered operative therapy.