Endovascular suture versus cutdown for endovascular aneurysm repair: a prospective randomized pilot study1 1Competition of interest: none.

Abstract

The percutaneous technique decreases the invasiveness of endovascular therapy of aortic aneurysm and reduces operative time and time to ambulation. Complications were roughly equivalent in severity. The additional cost for the device appears to justify its use for this form of aneurysm treatment.

Ultrasound-guided puncture of the femoral artery for total percutaneous aortic aneurysm repair

“…The technical success rate is usually lower in earlier studies or studies with small patient populations, whereas recent studies or studies with large patient populations usually have a technical success rate exceeding 90% (1,4,5,9). The current and previous studies confirm that, as experience with the closure devices increases, the technical success rate increases, and the complication rate decreases (5).…”

Management of vascular complications following transcatheter aortic valve implantation

“…With proper training, interventionalists may be able to treat the majority of VCs percutaneously. A percutaneous strategy has several advantages, including the lack of general anaesthesia, more rapid mobilization and decreased in-hospital complications, such as wound infections [18,19]. In a study of 149 patients with a VC rate of 18%, Stortecky et al showed a similar clinical outcome in patients undergoing percutaneous management and patients without VCs [20].…”

Percutaneous endovascular abdominal aortic aneurysm repair leads to a reduction in wound complications

“…The numbers in our study are too small to allow meaningful determination of factors predisposing to treatment failure. Others, while failing to demonstrate a benefit in terms of wound complication rates, have reported a decrease in operative time and time to ambulation post-operatively with percutaneous EVAR versus those having an open cutdown [7,8]. We chose not to examine these variables in this series as we felt that the results of the earlier cases, when we were learning the procedure, would produce a false ''skewing'' of the data and would be futile, as others have already comprehensively proven this point [7,8].…”