Total percutaneous access for endovascular aortic aneurysm repair ("Preclose" technique)
Total percutaneous access for endovascular aortic aneurysm repair ("Preclose" technique)
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DOI：
10.1016/j.jvs.2007.01.050
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发表时间：
2007-06-01
影响因子：
4.3
通讯作者：
Huber, Thomas S.
中科院分区：
文献类型：
--
作者：
Lee, W. Anthony;Brown, Michael P.;Huber, Thomas S.
Objective: Percutaneous access during endovascular aneurysm repair has been difficult owing to the large size of the delivery catheters. This study reports a single-center experience of totally percutancous access during endovascular abdominal and thoracic aortic repairs using the Perclose Proglide device (Abbott Vascular, Redwood City, Calif).Methods. Between December 2004 and August 2006, 262 endovascular aortic aneurysm repairs were performed. Percutaneous access was used for the introduction of 12F to 24F sheaths (4.4-mm to 8.6-mm outer diameter). The technique involved deployment of two Proglide devices before insertion of the sheath ("Preclose" technique) with the sutures left extracorporeally for closure after conclusion of the procedure. A prospectively maintained endovascular database and medical records were retrospectively reviewed. Rates of technical success, failure modes, and the overall duration of the endovascular repair compared with a similar cohort using open femoral exposures were examined.Results. A total of 559 Proglide devices were used to close 279 femoral arteries, and 175 (63%) required the insertion of 18F to 24F sheaths. There were 16 failures, mainly due to obesity, device malfunction, severe calcific disease, and faulty arterial punctures, for a technical success rate of 94.3%. The success rates for 12F to 16F size sheaths were significantly higher than for the larger 18F to 24F sheaths (99.0% vs 91.4%, P
