Document Detail

Access for endovascular aneurysm repair.
MedLine Citation:
PMID:  17154706     Owner:  NLM     Status:  MEDLINE    
Despite advancement in stent-graft technology, access-related problems continue to occur during endovascular repair of aortic aneurysms. Various techniques have been adopted to overcome difficult access situations, however. To survey these developments in arterial access, we performed a systematic literature review from 1994 through 2005 to identify relevant articles pertaining to endovascular access techniques and complications. Excessive iliac tortuosity, circumferential vessel wall calcification, significant occlusive disease, and small caliber vessels account for the majority of access problems, most of which are readily apparent with adequate baseline imaging. Even with careful preoperative assessment, however, some access problems may not be foreseen; nonetheless, the majority can be overcome using today's array of ancillary procedures, such as an iliac conduit, a brachiofemoral wire, or arterial reconstruction. Alternatively, other approach routes, such as the common carotid artery or direct aortic access, may be used to facilitate endovascular aneurysm repair.
David Murray; Jonathan Ghosh; Nadeem Khwaja; Michael O Murphy; Mohammed S Baguneid; Michael G Walker
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Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Journal of endovascular therapy : an official journal of the International Society of Endovascular Specialists     Volume:  13     ISSN:  1526-6028     ISO Abbreviation:  J. Endovasc. Ther.     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-12-12     Completed Date:  2007-01-11     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100896915     Medline TA:  J Endovasc Ther     Country:  United States    
Other Details:
Languages:  eng     Pagination:  754-61     Citation Subset:  IM    
Department of Vascular Surgery, Manchester Royal Infirmary, Manchester M13 9WL, UK.
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MeSH Terms
Angioplasty, Balloon / adverse effects,  methods*,  trends
Aortic Aneurysm, Abdominal / diagnosis,  therapy*
Aortic Aneurysm, Thoracic / diagnosis,  therapy*
Blood Vessel Prosthesis Implantation / adverse effects,  methods*,  trends
Equipment Design
Iliac Artery
Patient Selection
Preoperative Care / methods
Prosthesis Design
Stents* / adverse effects
Treatment Outcome

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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