Selective Use of Percutaneous Endovascular Aneurysm Repair in Women Leads to Fewer Groin Complications
Selective Use of Percutaneous Endovascular Aneurysm Repair in Women Leads to Fewer Groin Complications
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DOI：
10.1016/j.avsg.2011.11.026
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发表时间：
2012-05-01
影响因子：
1.5
通讯作者：
Lee, Jason T.
中科院分区：
文献类型：
--
作者：
Al-Khatib, Weesam K.;Zayed, Mohamed A.;Lee, Jason T.
Background: Endovascular aneurysm repair (EVAR) in women is often technically limited by smaller access vessel anatomy, particularly at the femoral and iliac artery levels. Percutaneous femoral artery access and closure using the "Preclose" technique (PERC) is a less invasive alternative to open surgical femoral arterial exposure and has been reported to be technically feasible, particularly in male cohorts. The purpose of this study was to evaluate the efficacy and access-related outcomes of PERC in women undergoing EVAR.Methods: We identified female patients in a prospectively maintained EVAR database from 2000 to 2009. An all-percutaneous approach was adopted in 2007 if technically feasible, based on preoperative computed tomography angiogram criteria including a femoral diameter >7 mm,
