Complete Percutaneous Treatment of Abdominal Aortic Aneurysm.
Description of Technique and the First Experience
Köcher M.1, Utíkal P.2, Koutná J.3, Bachleda P.2, Šišola I.1, Černá M.1, Buriánková E.1, Kojecký Z.2
Radiologická klinika FN, Olomouc1 přednosta prof. MUDr. J. Nekula, CSc. I. chirurgická klinika FN, Olomouc2 přednosta prof. MUDr. V. Král, CSc.Klinika anestezie a resuscitace FN, Olomouc3přednosta MUDr. O. Marek |
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Summary:
Objective: To describe the technique of complete percutaneous treatment of abdominal aortic
aneurysms and to present authors’ initial experience.
Materials and methods: In two appropriately selected patients indicated for endovascular treatment
of abdominal aortic aneurysm a stentgraft was implanted completely by the percutaneous route.
The crucial parameters for the indication of complete percutaneous treatment were: a) a width of
the common femoral and iliac arteries minimally 8milimeters without serious tortuosity, b) the wall
of the common femoral artery without marked calcifications. Prostar XL Percutaneous Vascular
Surgery Device (Perclose, Abbott Laboratories Company, Redwood City, California, USA) was used
for closure of the common femoral artery puncture site.
Results: The application of sutures and closure of puncture holes in the common femoral arteries
were successful in both patients.Permanent haemostasiswas always achieved without the neccesity
for surgical closure of the access artery.
Conclusion: The automatic percutaneous suture device Prostar XL is safe in the closure of arteries
after stentgraft implantation. The application of sutures at the beginning of the endovascular
procedure and the closure of the artery at the end are technically easy and effective.
Key words:
abdominal aorta – aneurysm – stentgraft – Prostar XL – percutaneous suture device
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