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https://www.readbyqxmd.com/read/27865218/-percutaneous-endovascular-aortic-repair-with-local-anesthesia-one-day-surgery
#1
Joel Sousa, Daniel Brandão, Paulo Barreto, Joana Ferreira, José Almeida Lopes, Armando Mansilha
INTRODUCTION: To evaluate the results of the abdominal aortic aneurism endovascular treatment (EVAR), percutaneously and with local anesthesia, according to the concept of one day surgery. MATERIAL AND METHODS: Unicentric, retrospective analysis of patients with aorto-iliac aneurysmal disease, consecutively treated by EVAR with percutaneous access trough the Preclose technique (pEVAR), according to the outpatient criteria, with one overnight stay in the hospital...
June 2016: Acta Médica Portuguesa
https://www.readbyqxmd.com/read/27752169/-control-study-of-total-percutaneous-access-with-preclose-technique-versus-open-femoral-artery-exposure-for-endovascular-aneurysm-repair
#2
J J Jiang, H K Qing, X M Zhang, X M Zhang, W Li, C Y Shen, Q L Li, Y Jiao
OBJECTIVE: To compare total percutaneous access using preclose technique with femoral artery cut-down in endovascular aneurysm repair (EVAR) and assess the safety and feasibility of preclose technique. METHODS: In the study, 81 cases undergoing EVAR from Dec. 2011 to Nov. 2014 in Peking University People's Hospital were retrospectively reviewed. Preoperative CT angiography (CTA) showed presence of infrarenal abdominal aortic aneurysm or descending aortic aneurysm in all the cases...
October 18, 2016: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
https://www.readbyqxmd.com/read/27666800/the-superficial-femoral-artery-an-alternative-access-for-percutaneous-endovascular-aneurysm-repair
#3
Ashley Aaron, Selma El-Hag, Eileen de Grandis, Steve Santilli, Michael Rosenberg, Susan M Shafii, Jafar Golzarian, Rumi Faizer
PURPOSE: To report the results of percutaneous endovascular aortic aneurysm repair (PEVAR) using the superficial femoral artery (SFA) for large-bore vessel access. METHODS: We reviewed all PEVAR procedures at our institution over an 18-month period, identifying all patients who underwent PEVAR with the use of one or both SFAs for endograft delivery with dual ProGlide large-bore access closure. Indications for use of the SFA instead of the common femoral artery (CFA) included morbid obesity, CFA vessel wall disease, and scarring from previous CFA surgery...
September 22, 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/27178717/single-center-experience-following-the-introduction-of-a-percutaneous-endovascular-aneurysm-repair-first-approach
#4
Mohammed Ashrafi, Qusai Al-Jarrah, Mayooreshan Anandarajah, Ray Ashleigh, Mark Welch, Mohamed Baguneid
We evaluated our experience following the introduction of a percutaneous endovascular aneurysm repair (pEVAR) first approach using Perclose Proglide assessing efficacy, complications, and identification of factors that could predict failure. A retrospective cohort study on patients over a 2-year period following the introduction of a pEVAR first approach was performed. The primary end point was defined as successful deployment and access site hemostasis. Percutaneous EVAR was technically successful in 41 (77...
May 13, 2016: Angiology
https://www.readbyqxmd.com/read/27116905/a-novel-anesthetic-technique-for-pevar
#5
Stuart A Harlin, Ruth A Grissom, Christopher LeCroy, Susan M Pouliot, Scott A Harlin
BACKGROUND: Percutaneous endovascular aneurysm repair (PEVAR) continues to evolve. Device profiles continue to decline, further reducing the physiological insult of the procedure. Anesthesia, however, has not evolved with a large proportion of patients continuing to receive general anesthesia for their increasingly less invasive procedures. We report on a novel anesthetic technique providing outstanding anesthesia in patients undergoing PEVAR in an outpatient setting. The total anesthesia used was remarkably cost effective...
July 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/26658092/thirty-day-outcomes-after-elective-percutaneous-or-open-endovascular-repair-of-abdominal-aortic-aneurysms
#6
David S Kauvar, Eric D Martin, Matthew D Givens
BACKGROUND: Percutaneous endovascular aneurysm repair (PEVAR) has become accepted as a suitable alternative to open EVAR (OEVAR) in the treatment of abdominal aortic aneurysms (AAAs). Direct comparisons between the 2 techniques have been infrequently reported and have predominantly focused on immediate procedural outcomes. The objective of this study was to compare contemporary 30-day postoperative outcomes between successfully completed elective PEVAR and OEVAR. METHODS: The 2012 National Surgical Quality Improvement Program database was queried for all elective primary AAA repairs...
February 2016: Annals of Vascular Surgery
https://www.readbyqxmd.com/read/26506938/safety-and-utility-of-total-percutaneous-endovascular-aortic-repair-with-a-single-perclose-proglide-closure-device
#7
Taku Ichihashi, Tsuyoshi Ito, Yoshihisa Kinoshita, Takahiko Suzuki, Nobuyuki Ohte
OBJECTIVE: This study evaluated the safety and efficacy of total percutaneous endovascular aortic aneurysm repair (PEVAR) with a single Perclose ProGlide device (Abbot Vascular, Santa Clara, Calif) compared with endovascular aortic repair with surgical cutdown (SEVAR). METHODS: The study included 50 abdominal aortic aneurysm patients who were treated with PEVAR with a single Perclose ProGlide device and 96 patients treated with SEVAR. Technical success was defined as successful arterial closure of the common femoral artery without the need for adjunctive surgical or endovascular procedures...
March 2016: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/26372191/outcomes-of-total-percutaneous-endovascular-aortic-repair-for-thoracic-fenestrated-and-branched-endografts
#8
Leonardo R de Souza, Gustavo S Oderich, Peter V Banga, Janet M Hofer, Jean R Wigham, Stephen Cha, Peter Gloviczki
OBJECTIVE: Percutaneous endovascular aortic repair (PEVAR) has been increasingly used to treat infrarenal abdominal aortic aneurysms, but few studies have evaluated the results in complex aortic aneurysms. We reviewed the technical success and clinical outcomes of PEVAR using large-diameter sheaths for the treatment of complex aortic aneurysms with thoracic, fenestrated, and branched stent grafts. METHODS: The clinical data of patients who underwent total PEVAR for descending thoracic aneurysm, thoracoabdominal aortic aneurysm, pararenal, and aortoiliac aneurysms using thoracic, fenestrated, and branched stent grafts between 2009 and 2014 were reviewed...
December 2015: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/26372021/italian-percutaneous-evar-iper-registry-outcomes-of-2381-percutaneous-femoral-access-sites-closure-for-aortic-stent-graft
#9
MULTICENTER STUDY
G Pratesi, M Barbante, R Pulli, A Fargion, W Dorigo, R Bisceglie, A Ippoliti, C Pratesi
AIM: The aim of this paper was to report outcomes of endovascular aneurysm repair with percutaneous femoral access (pEVAR) using Prostar XL and Proglide closure systems (Abbot Vascular, Santa Clara, CA, USA), from the multicenter Italian Percutaneous EVAR (IPER) registry. METHODS: Consecutive patients affected by aortic pathology treated by EVAR with percutaneous access (pEVAR) between January 2010 and December 2014 at seven Italian centers were enrolled in this multicenter registry...
December 2015: Journal of Cardiovascular Surgery
https://www.readbyqxmd.com/read/26327747/current-status-of-percutaneous-endografting
#10
REVIEW
Parag J Patel, Quinton Kelly, Robert A Hieb, Cheong Jun Lee
Totally percutaneous endovascular abdominal aortic aneurysm repair (PEVAR) using suture-mediated closure devices (SMCDs) has several well-established advantages over standard open femoral exposure as a direct consequence of being less invasive and having shorter times to hemostasis and procedure completion. The first multicenter randomized controlled trial designed to assess the safety and efficacy of PEVAR and to compare percutaneous access with standard open femoral exposure was recently published (the PEVAR trial)...
September 2015: Seminars in Interventional Radiology
https://www.readbyqxmd.com/read/26158254/preclose-percutaneous-endurant%C3%A2-endografting-with-the-proglide%C3%A2-device-a-safe-and-feasible-combination
#11
M van Dorp, M Ruyssers, Z Amajoud, P Lauwers, P E Van Schil, J M H Hendriks
BACKGROUND: Endovascular repair of abdominal aortic aneurysms has been revolutionized over the last two decades. Opening the doors for a percutaneous approach by avoiding surgical exposure of the vascular access site. The goal of this report is to analyze the feasibility and efficacy of using Perclose Proglide™ through a preclose technique in a percutaneous approach to Endurant™ endografting for Asymptomatisch infrarenal aortic aneurysms in an elective setting. METHODS: Between April 2011 and April 2014, 45 consecutive patients underwent percutaneous endovascular aortic aneurysm repair (PEVAR) for an asymptomatic infrarenal aortic aneurysm...
May 2015: Acta Chirurgica Belgica
https://www.readbyqxmd.com/read/25937605/incidence-of-acute-lower-extremity-venous-thrombosis-after-percutaneous-endovascular-aneurysm-repair
#12
Courtney E Morgan, Rita Herm-Barabasz, Heron E Rodriguez, Andrew W Hoel, Mark K Eskandari
BACKGROUND: Improvements in endovascular aortic aneurysm repair (EVAR) have led many physicians to embrace a purely percutaneous approach using the suture-mediated "preclose" technique. Whereas there are a number of theoretical benefits, the rate of periprocedural iatrogenic acute deep venous thrombosis (DVT) is unknown. We sought to determine the incidence of acute DVT after percutaneous EVAR (PEVAR). METHODS: This was a single-center, retrospective review of 52 consecutive patients undergoing elective PEVAR...
August 2015: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/25907948/-prophylactic-antibiotics-a-necessity-in-totally-percutaneous-thoracic-endovascular-aortic-repair
#13
Nian-Jin Xie, Song-Yuan Luo, Ling Xue, Wei Li, Meng-Nan Gu, Yuan Liu, Wen-Hui Huang, Rui-Xin Fan, Ji-Yan Hen, Jian-Fang Luo
OBJECTIVE: To study the benefit of prophylactic antibiotics (PA) in totally percutaneous aortic endovascular repair (PEVAR) in the catheterization laboratory for reducing stent-graft infection and postimplantation syndrome (PIS). METHODS: The clinical data were analyzed of patients undergoing thoracic endovascular aortic repairs. The patients were divided into non-PA group and PA group according to the use of prophylactic antibiotics before PEVAR. The diagnosis of infection was made by two senior physicians with reference to Hospital Acquired Infection Diagnostic Criteria Assessment released by the Ministry of Health of China...
April 2015: Nan Fang Yi Ke da Xue Xue Bao, Journal of Southern Medical University
https://www.readbyqxmd.com/read/25827969/percutaneous-versus-femoral-cutdown-access-for-endovascular-aneurysm-repair
#14
COMPARATIVE STUDY
Dominique B Buck, Eleonora G Karthaus, Peter A Soden, Klaas H J Ultee, Joost A van Herwaarden, Frans L Moll, Marc L Schermerhorn
OBJECTIVE: Prior studies suggest that percutaneous access for endovascular abdominal aortic aneurysm repair (pEVAR) offers significant operative and postoperative benefits compared with femoral cutdown (cEVAR). National data on this topic, however, are limited. We compared patient selection and outcomes for elective pEVAR and cEVAR. METHODS: We identified all patients undergoing either pEVAR (bilateral percutaneous access, whether successful or not) or cEVAR (at least one planned groin cutdown) for abdominal aortic aneurysms from January 2011 to December 2013 in the Targeted Vascular data set from the American College of Surgeons National Surgical Quality Improvement Program database...
July 2015: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/24589161/diameter-change-of-common-femoral-arteries-after-percutaneous-endovascular-aortic-repair-with-the-use-of-the-preclose-technique
#15
Yang-Yu Lin, Ren-Fu Shie, Kuo-Sheng Liu, Shang-Yueh Yu, I-Hao Su, Chien-Ming Chen, Sin-Yi Lyu, Po-Jen Ko
OBJECTIVE: One of the major concerns regarding the preclose technique is its influence on the diameter of the accessed common femoral artery (CFA). The aim of our study was to evaluate the CFA diameter change after percutaneous endovascular aortic repair (PEVAR) with the use of the preclose technique. METHODS: From February 2012 to September 2013, 192 patients who underwent PEVAR with the preclose technique were reviewed. The patients were followed postoperatively with computed tomographic angiography 1, 6, and 12 months after PEVAR, and only those with complete computed tomography studies were included...
July 2014: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/24479517/-retrospective-analysis-of-short-term-and-mid-term-results-of-percutaneous-endovascular-repair-in-patients-with-abdominal-aortic-aneurysm
#16
M Tóth, J Maďarič, T Balázs, J Mikuláš, D Hladíková, R Bažík, E Drangová, T Urlandová, A Klepanec, I Vulev
INTRODUCTION: Endovascular abdominal aortic aneurysm repair (EVAR) is a modern and, compared to conventional open surgery, less invasive therapeutic strategy with short-term lower morbidity and mortality. The aim of our retrospective analysis was the assessment of safety, technical success, short-term and mid-term results of elective patients scheduled for total percutaneous EVAR implantation (PEVAR). MATERIAL AND METHODS: One hundred and sixteen consecutive patients (M:F 104:12, age 71±9 years, maximum AAA diameter 60±14mm) underwent elective PEVAR between January 2009 and August 2012...
December 2013: Rozhledy V Chirurgii: Měsíčník Československé Chirurgické Společnosti
https://www.readbyqxmd.com/read/24440678/a-multicenter-randomized-controlled-trial-of-totally-percutaneous-access-versus-open-femoral-exposure-for-endovascular-aortic-aneurysm-repair-the-pevar-trial
#17
RANDOMIZED CONTROLLED TRIAL
Peter R Nelson, Zvonimir Kracjer, Nikhil Kansal, Vikram Rao, Christian Bianchi, Homayoun Hashemi, Paul Jones, J Michael Bacharach
OBJECTIVE: The first multicenter randomized controlled trial was designed and conducted to assess the safety and effectiveness of totally percutaneous endovascular aortic aneurysm repair (PEVAR) with use of a 21F endovascular stent graft system and either an 8 F or 10 F suture-mediated closure system (the PEVAR trial, NCT01070069). A noninferiority trial design was chosen to compare percutaneous access with standard open femoral exposure. METHODS: Between 2010 and 2012, 20 U...
May 2014: Journal of Vascular Surgery
https://www.readbyqxmd.com/read/24391320/totally-percutaneous-endovascular-abdominal-aortic-aneurysm-repair-30-day-results-from-the-independent-access-site-closure-study-of-the-pevar-trial
#18
RANDOMIZED CONTROLLED TRIAL
Zvonimir Krajcer, Jesus M Matos
No abstract text is available yet for this article.
2013: Texas Heart Institute Journal
https://www.readbyqxmd.com/read/24310758/percutaneous-endovascular-abdominal-aortic-aneurysm-repair-within-the-infrarenal-region-preliminary-report
#19
Marek Iłżecki, Tomasz Zubilewicz, Piotr Terlecki, Stanisław Przywara
UNLABELLED: The aim of the study was to thoroughly evaluate the closure device ProStar XL in terms of its efficiency and safety in the percutaneous endovascular treatment of abdominal aortic aneurysms in the infrarenal section of the body. Additionally, it was crucial to assess if there were any occurrences of regional complications at any step of the procedure. It was also important to stipulate the estimated hospitalization period as well as the overall cost of the PEVAR treatment with the use of ProStar XL...
October 2013: Polski Przeglad Chirurgiczny
https://www.readbyqxmd.com/read/24220115/percutaneous-endovascular-aneurysm-repair-pevar-superior-to-traditional-evar
#20
EDITORIAL
Josef Klocker, Gustav Fraedrich
No abstract text is available yet for this article.
November 2013: VASA. Zeitschrift Für Gefässkrankheiten
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