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[Percutaneous transfemoral implantation of a new, flexible thoracic aorta endoprosthesis using a percutaneous suture system for vascular suture--initial experiences].
- Source :
-
RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin [Rofo] 2001 May; Vol. 173 (5), pp. 442-7. - Publication Year :
- 2001
-
Abstract
- Purpose: To evaluate the transfemoral placement of a new, flexible stent-graft into the thoracic aorta and the suture-mediated closure of the femoral access.<br />Patients and Methods: Five patients were treated endovascularly with a stent-graft for an aneurysm (n = 3) or acute dissection (n = 2) of the thoracic aorta via a femoral 24 F sheath. The femoral access site was closed with two suture-mediated closure devices after placement of the stent-graft.<br />Results: The aneurysm or the false lumen was excluded from perfusion by the placement of the stent-graft in all patients. Hemostasis at the femoral access site was successful in all patients with the percutaneous suture device. A minor stenosis of the femoral artery was found angiographically in four patients after suture-mediated closure. Besides a reversible renal failure due to the medically induced hypotension for the treatment of an acutely ruptured aneurysm, no complications resulted from the stent-graft placement or the percutaneous suture.<br />Conclusion: The percutaneous transfemoral placement of stent-grafts in the thoracic aorta using a suture-mediated closure of the access site is technically feasible. Long-term results of the technique have to be awaited.
- Subjects :
- Aged
Aged, 80 and over
Aortic Dissection diagnostic imaging
Angiography, Digital Subtraction
Aortic Aneurysm, Thoracic diagnostic imaging
Aortography
Female
Femoral Artery diagnostic imaging
Hemostasis, Surgical instrumentation
Humans
Image Processing, Computer-Assisted
Male
Postoperative Complications diagnostic imaging
Surgical Instruments
Tomography, X-Ray Computed
Wound Healing physiology
Aortic Dissection surgery
Angioplasty, Balloon instrumentation
Aortic Aneurysm, Thoracic surgery
Blood Vessel Prosthesis Implantation instrumentation
Femoral Artery surgery
Stents
Suture Techniques instrumentation
Subjects
Details
- Language :
- German
- ISSN :
- 1438-9029
- Volume :
- 173
- Issue :
- 5
- Database :
- MEDLINE
- Journal :
- RoFo : Fortschritte auf dem Gebiete der Rontgenstrahlen und der Nuklearmedizin
- Publication Type :
- Academic Journal
- Accession number :
- 11414153
- Full Text :
- https://doi.org/10.1055/s-2001-13341