| Percutaneous endovascular treatment of aortic aneurysms: Clinical evaluation and literature results. | |
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MedLine Citation:
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PMID: 22122219 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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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. |
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Authors:
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Theodossios P Perdikides; George S Georgiadis; Efthimios D Avgerinos; Kosmas I Paraskevas; Konstantinos X Siafakas; Athanasios Katsargyris; Theofanis Fotis; Konstantinos G Lagios |
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Publication Detail:
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Type: JOURNAL ARTICLE Date: 2011-11-29 |
Journal Detail:
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Title: Minimally invasive therapy & allied technologies : MITAT : official journal of the Society for Minimally Invasive Therapy Volume: - ISSN: 1365-2931 ISO Abbreviation: - Publication Date: 2011 Nov |
Date Detail:
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Created Date: 2011-11-29 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9612996 Medline TA: Minim Invasive Ther Allied Technol Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
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Vascular Surgery Department, "Hellenic Air Force" Hospital, Athens , Greece. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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