| Femoral arterial access management for endovascular aortic aneurysm repair: evolution and outcome. | |
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MedLine Citation:
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PMID: 19364727 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Endovascular repair of abdominal and thoracic aortic aneurysms (AAAs and TAAs, respectively) has become the standard of care for anatomically appropriate patients. All the devices developed to date for endograft repair of AAAs and TAAs are deployed through relatively large (12F to 24F) sheaths. Traditionally, this access has required arterial exposure with open cut down, but with the development of suture-mediated arterial closure devices and decreasing profile of delivery sheaths of endografts, there is an increasing trend toward percutaneous endovascular repair of aortic aneurysms. This is an effective and safe approach in a select group of patients. Ultrasound guidance ensures that access is obtained proximal to the common femoral artery bifurcation. The procedure should be performed in a sterile operating room environment, and the physicians performing endovascular repair should be experienced in open arterial exposure, should the closure device fail to close the arteriotomy. |
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Authors:
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Shoaib Shafique; Michael P Murphy; Alan P Sawchuk; Dolores Cikrit; Michael C Dalsing |
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Publication Detail:
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Type: Journal Article; Review Date: 2009-04-12 |
Journal Detail:
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Title: Perspectives in vascular surgery and endovascular therapy Volume: 21 ISSN: 1531-0035 ISO Abbreviation: Perspect Vasc Surg Endovasc Ther Publication Date: 2009 Mar |
Date Detail:
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Created Date: 2009-04-21 Completed Date: 2009-06-19 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100970607 Medline TA: Perspect Vasc Surg Endovasc Ther Country: United States |
Other Details:
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Languages: eng Pagination: 29-33 Citation Subset: IM |
Affiliation:
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Saint Anthony Hospital, Oklahoma City, OK, USA. shoaibshafique@hotmail.com |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aortic Aneurysm, Abdominal
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pathology,
surgery* Aortic Aneurysm, Thoracic / pathology, surgery* Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation / adverse effects, instrumentation, methods* Femoral Artery* / radiography, ultrasonography Humans Patient Selection Prosthesis Design Risk Assessment Surgical Procedures, Minimally Invasive Tomography, X-Ray Computed Treatment Outcome Ultrasonography, Interventional |
| Comments/Corrections | |
Comment In:
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Perspect Vasc Surg Endovasc Ther. 2009 Mar;21(1):34-5
[PMID:
19380390
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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