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EVAR, AAA, PEVAR, Endovascular

Graham Roche-Nagle, Maureen Hazel, Dheeraj K Rajan
OBJECTIVES: The percutaneous endovascular abdominal aortic repair (PEVAR) approach is a minimally invasive technique that has demonstrated clinical benefit over traditional surgical cut down associated with standard endovascular abdominal aortic aneurysm (AAA) repair (EVAR). The objective of our study was to evaluate the budget impact to a Canadian hospital of changing the technique for AAA repair from the EVAR approach to the PEVAR approach. METHODS: We examined the budget impact of replacing the EVAR approach with the PEVAR approach in a Canadian hospital that performs 100 endovascular AAA repairs annually...
May 2018: Canadian Association of Radiologists Journal, Journal L'Association Canadienne des Radiologistes
B D K Leong, N Govindarajanthran, T M Hafizan, K L Tan, H Hanif, A A Zainal
INTRODUCTION: There has been a paradigm shift in the treatment of AAA with the advent of endovascular aneurysm repair (EVAR). Rapid progress and evolution of endovascular technology has brought forth smaller profile devices and closure devices. Total percutaneous endovascular aneurysm repair (pEVAR) involves the usage of suture-mediated closure devices (SMCDs) at vascular access sites to avoid a traditional surgical cutdown. MATERIALS AND METHODS: We retrospectively reviewed our experience of pEVAR between April 2013 and July 2014...
April 2017: Medical Journal of Malaysia
Christopher J Agrusa, Andrew J Meltzer, Darren B Schneider, Peter H Connolly
BACKGROUND: Percutaneous endovascular aneurysm repair (PEVAR) has been increasingly used in the endovascular treatment of abdominal aortic aneurysms. Furthermore, the percutaneous approach can be used with minimal sedation and local anesthesia in most cases. The purpose of this study was to assess the safety and effectiveness of a "percutaneous first" approach to femoral access for EVAR. METHOD: From 2012 to 2014, PEVAR has been the preferred approach to femoral access for EVAR at our institution...
August 2017: Annals of Vascular Surgery
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
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
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
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
N Mangialardi, S Ronchey, H Kasemi, V Alberti, S Fazzini, E Serrao
AIM: Aim of the study was to report our single-center experience of the ultra-low profile OvationTM Abdominal Stent-Graft System with totally percutaneous endovascular aneurysm repair (PEVAR). METHODS: Between December 2010 and March 2013 we electively treated 35 patients (male: 89%, mean age: 73±7 years) with abdominal aortic aneurysm (AAA) using bilateral PEVAR with the OvationTM endograft. Most (77%) cases were characterized by challenging femoral artery anatomy...
October 2013: Journal of Cardiovascular Surgery
Hasan H Dosluoglu, Purandath Lall, Raphael Blochle, Linda M Harris, Maciej L Dryjski
OBJECTIVE: Percutaneous endovascular abdominal aortic aneurysm repair (PEVAR) has been associated with fewer groin wound complications and shorter operative times, but same-day discharge (SDD) has not been reported. The goal of our article is to assess the feasibility and safety of ambulatory PEVAR and identify patient characteristics that are eligible for this approach. METHODS: Consecutive patients who underwent elective endovascular abdominal aortic aneurysm repair (EVAR) between March 2011 and December 2012 were reviewed...
January 2014: Journal of Vascular Surgery
Jesse M Manunga, Peter Gloviczki, Gustavo S Oderich, Manju Kalra, Audra A Duncan, Mark D Fleming, Thomas C Bower
OBJECTIVE: This study was conducted to determine the outcomes and predictive factors for success during percutaneous endovascular aneurysm repair (PEVAR) using vascular closure devices (VCDs). METHODS: The clinical data of patients who underwent PEVAR between 2005 and 2012 were retrospectively reviewed. Patient demographics, body mass index, sheath size, device types, diameter of femoral arteries, and extent and location of femoral artery calcification were recorded...
November 2013: Journal of Vascular Surgery
Carlos F Bechara, Neal R Barshes, George Pisimisis, Huiting Chen, Taemee Pak, Peter H Lin, Panagiotis Kougias
INTRODUCTION: Percutaneous endovascular aneurysm repair (PEVAR) has been shown to be feasible; however, technical success is variable, reported to be between 46.2% and 100%. The objective of this study was to quantify the learning curve of the PEVAR closure technique and identify predictors of closure failure. METHODS: We reviewed patient- and procedure-related characteristics in 99 consecutive patients who underwent PEVAR over a 30-month period in a single academic institution...
January 2013: Journal of Vascular Surgery
Jose M Sarmiento, Paul J Wisniewski, Natalie T Do, Jeff M Slezak, Majid Tayyarah, Paul K Aka, Trung D Vo, Jeffrey H Hsu
BACKGROUND: This study was conducted to determine the effect of ultrasound (US)-guided percutaneous access for percutaneous endovascular abdominal aortic aneurysm repair (PEVAR) on conversion to open repair by femoral cutdown. We also sought to identify other risk factors associated with failure of percutaneous access and conversion to femoral cutdowns. METHODS: This is a single-center, retrospective review of 101 patients who underwent PEVAR between January 1, 2005 and July 31, 2009 (56 months)...
October 2012: Annals of Vascular Surgery
S Marlene Grenon, Joel Gagnon, York N Hsiang, Jerry C Chen
BACKGROUND: To decrease the morbidity associated with cut-downs during endovascular aneurysm repair, some authors have suggested the totally percutaneous endovascular repair (PEVAR). The goal of this report is to evaluate and describe our centre's experience with the total percutaneous endovascular aneurysm repair (PEVAR) for aortic abdominal aneurysm (AAA). METHODS: We performed a retrospective analysis of 15 consecutive patients with AAA, including 1 with right common iliac artery aneurysm...
October 2009: Canadian Journal of Surgery. Journal Canadien de Chirurgie
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