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Perkutane transfemorale Implantation einer neuen, flexiblen thorakalen Aortenendoprothese unter Verwendung eines perkutanen Nahtsystems zum Gefäßverschluss - erste Erfahrungen
- Source :
- RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren. 173:442-447
- Publication Year :
- 2001
- Publisher :
- Georg Thieme Verlag KG, 2001.
-
Abstract
- Percutaneous Transfemoral Placement of a New Flexible Stent-Graft Into the Thoracic Aorta Followed by a Percutaneous Suture-Mediated Closure of the Access Site - Initial Experience. 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. Patients and Methods: Five patients were treated endovascularly with a stent-graft for an aneurysm (n = 3) or acute dissection (n = 2) of f 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. 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. 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 :
- medicine.medical_specialty
Percutaneous
medicine.diagnostic_test
business.industry
medicine.medical_treatment
Stent
Interventional radiology
Femoral artery
medicine.disease
Surgery
Stenosis
Catheter
surgical procedures, operative
Aneurysm
medicine.artery
medicine
Thoracic aorta
Radiology, Nuclear Medicine and imaging
cardiovascular diseases
business
Subjects
Details
- ISSN :
- 14389010 and 14389029
- Volume :
- 173
- Database :
- OpenAIRE
- Journal :
- RöFo - Fortschritte auf dem Gebiet der Röntgenstrahlen und der bildgebenden Verfahren
- Accession number :
- edsair.doi...........fd3bad447d9252a3dd7796db69bee144