1. Percutaneous endovascular treatment of aortic aneurysms: clinical evaluation and literature results.
- Author
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Perdikides TP, Georgiadis GS, Avgerinos ED, Paraskevas KI, Siafakas KX, Katsargyris A, Fotis T, and Lagios KG
- Subjects
- Aged, Aged, 80 and over, Aortic Dissection diagnostic imaging, Aortic Dissection surgery, Angioplasty, Balloon, Aortic Aneurysm, Abdominal diagnostic imaging, Aortic Aneurysm, Abdominal surgery, Blood Vessel Prosthesis Implantation, Female, Femoral Artery, Humans, Length of Stay, Male, Middle Aged, Sensitivity and Specificity, Ultrasonography, Aortic Dissection therapy, Aortic Aneurysm, Abdominal therapy, Endovascular Procedures methods
- Abstract
In this study we aimed to evaluate the efficiency of percutaneous endovascular aortic aneurysm repair (p-EVAR). Anatomically selected patients treated with a single 10Fr Perclose Prostar XL vascular closure device (VCD) were examined. Primary success rate and common femoral artery (CFA) open conversion (OC) requirement per sheath size used were recorded. A literature review on p-EVAR results was also performed. One-hundred patients were enrolled. Successful p-EVAR was achieved in 183 of the 196 CFA access sites (93.4%), and was specifically 85.9% and 98.3% for sheaths ≥20Fr and ≤18Fr respectively. There were 13 periprocedural complications (bleeding = 10, arterial dissection and thrombosis = 1, pseudoaneurysm = 2) all leading to OC. Use of ≥20Fr sheaths had significantly higher OC rate (P < .05). Reconstruction was achieved with primary repair (N = 11) and patch angioplasty (N = 2). Mean hospital stay was 1.8 days. The literature review (vascular closure of 2921 CFA access sites) revealed an overall technical success rate of 92.3%. Device related- were more common than patient related-OCs (P < .05). p-EVAR procedures are safe and feasible. Sheath size is a significant predictor of OC rate and more OCs might be expected with very large (≥20Fr) sheath sizes.
- Published
- 2012
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