Percutaneous endovascular abdominal aortic aneurysm repair

Annals of Vascular Surgery
Elizabeth S RachelRichard A Mitchell

Abstract

In this prospective, nonrandomized study, we compared outcome with percutaneous femoral artery closure to that with open femoral arteriotomy in 95 patients who underwent endovascular AAA repair. Devices were introduced using 22 Fr and/or 16 Fr sheaths. The 8 Fr/10 Fr Perclose devices (Perclose Inc., Redwood City, CA) were used in an off-label "preclose technique." Thirty-three patients had bilateral open femoral arteriotomies, 44 patients had bilateral attempted percutaneous closure, and 18 patients had open femoral arteriotomy on one side and attempted percutaneous closure on the other side. Percutaneous closure was successful in 85% (47/55) of 16 Fr sheaths and 64% (29/45) of 22 Fr sheaths (p < 0.027). Bilateral percutaneous closure was successful in 63% (28/44) of patients. Conversion to open femoral arteriotomy due to bleeding occurred in 24 of 106 percutaneous attempts. There were no dissections, arterial thromboses, or pseudoaneurysms associated with percutaneous arterial closure. Wound complications were seen in 3.6% (3/84) of open arteriotomies and 0.9% (1/106) of all percutaneous attempts and arterial closures (p > 0.05). Gender, previous femoral access, obesity, and iliac occlusive disease were not predictive of percu...Continue Reading

Citations

Nov 29, 2011·International Journal of Vascular Medicine·Sachin V PhadeMelina R Kibbe
Nov 30, 2011·Minimally Invasive Therapy & Allied Technologies : MITAT : Official Journal of the Society for Minimally Invasive Therapy·Theodossios P PerdikidesKonstantinos G Lagios
Jun 5, 2013·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Won Ho KimDonghoon Choi
Apr 29, 2006·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Thomas LarzonLars Norgren
Dec 13, 2006·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·David MurrayMichael G Walker
Sep 15, 2004·The Surgical Clinics of North America·Steven G Katz, Alan Abando
Sep 15, 2004·The Surgical Clinics of North America·Timothy A M Chuter, Benjamin A Howell
Mar 15, 2006·Neuroradiology·Kennith F LaytonDavid F Kallmes
Jun 26, 2004·Journal of Vascular Surgery·Mark D MoraschWilliam H Pearce
Apr 6, 2006·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J WateletD Plissonnier
Aug 8, 2013·Vascular and Endovascular Surgery·Albeir Y MousaBryan K Richmond
May 9, 2007·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Hasan H DosluogluMaciej L Dryjski
May 20, 2014·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Marvin H Eng
Feb 5, 2008·Irish Journal of Medical Science·C O McDonnellD J Moore
Jan 31, 2008·Cardiovascular and Interventional Radiology·R J Hinchliffe, K Ivancev
Mar 10, 2009·Journal of Cardiac Surgery·Jacques KpodonuEdward B Diethrich
Mar 8, 2018·Cardiovascular and Interventional Radiology·Ivan Kuang Hsin HuangRobert A Morgan
Apr 5, 2014·La Radiologia medica·Sergio PetronelliMariaelena Occhipinti
Feb 3, 2005·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Yann GouëfficHisham Kobeiter
Aug 10, 2004·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Luigi IngleseMassimo Medda
Aug 25, 2011·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·George S GeorgiadisMiltos K Lazarides
Dec 14, 2011·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Carl MontánTimothy A Resch
Oct 10, 2003·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Do Yun LeeHo-Young Song
Jul 14, 2012·Journal of Endovascular Therapy : an Official Journal of the International Society of Endovascular Specialists·Sven R MathisenThomas Larzon
Mar 14, 2013·Cardiovascular and Interventional Radiology·Abdel Aziz A JaffanTimothy P Murphy
Oct 8, 2018·Journal of Vascular Surgery·Bastiaan P VierhoutClark J Zeebregts

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