Totally percutaneous aortic aneurysm repair: Experience and prudence

Starnes, Benjamin W.; Andersen, Charles A.; Ronsivalle, Joseph A.; Stockmaster, Neal R.; Mullenix, Philip S.; Statler, John D.

doi:10.1016/j.jvs.2005.11.004

Cited by 111 publications

(118 citation statements)

References 19 publications

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“…Many studies have shown that obesity or morbid obesity, severely or circumferentially calcified CFA, tortuous iliac arteries, large introducer sheath size (larger than 18 F or 20 F), a scarred groin, the presence of a graft in the access artery, and inexperience with the procedure increase the likelihood of technical failures or complications (2,(4)(5)(6)(7). In some studies, these risk factors were exclusion criteria for the use of the percutaneous closure device; in other studies, they were not (6)(7)(8).…”

Section: Discussionmentioning

confidence: 99%

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

Oğuzkurt

Gürel²,

Eker³

et al. 2011

Diagn Interv Radiol

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Section: Discussionmentioning

confidence: 99%

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

Oğuzkurt

Gürel²,

Eker³

et al. 2011

Diagn Interv Radiol

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“…Its main advantage consists of being a less invasive procedure than conventional vascular reconstructions; besides, the duration of aortic occlusion is negligible, hemodynamic and metabolic stresses seem to be reduced, and early ambulation and discharge from the hospital are also associated with this procedure. Although it has potential advantages, further comparative studies are necessary, as well as the late follow-up of those patients 53 .…”

Section: Discussionmentioning

confidence: 99%

“…O procedimento cirúrgico endovascular para reparo 53 . Aos anestesiologistas cabe entender que sua importância para o sucesso do procedimento depende do conhecimento da técnica cirúrgica e das complicações para que possam prover anestesia adequada nas diferentes fases do procedimento.…”

Section: Conclusãounclassified

Anestesia para intervenção cirúrgica endovascular na aorta abdominal

Lorentz

Boni

Soares

2008

Rev. Bras. Anestesiol.

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Rev Bras AnestesiolARTIGO DE REVISÃO 2008; 58: 5: 520-532 REVIEW ARTICLE RESUMO Lorentz MN, Boni CLA, Soares RR -Anestesia para Intervenção Cirúrgica Endovascular na Aorta Abdominal. JUSTIFICATIVA E OBJETIVOS:O procedimento endovascular para correção de aneurisma de aorta é menos invasivo que o convencional, além de apresentar outras vantagens, como ausência de incisão abdominal, ausência de pinçamento da aorta e menor tempo de recuperação pós-operatória. Por se tratar de procedimento cirúrgico relativamente novo e apresentar uma série de alterações que devem ser conhecidas pelo anestesiologista foi realizado este trabalho com o objetivo de revisar os aspectos mais relevantes do procedimento endovascular e possibilitar manuseio anestésico mais adequado no perioperatório. CONTEÚDO:Apresentação sucinta da técnica cirúrgica para reparo de aneurismas via endovascular, as possíveis vantagens e desvantagens do procedimento, bem como as complicações potenciais. Além disso, foram abordados os cuidados perioperatórios que o procedimento exige e as técnicas anestésicas que podem ser utilizadas. CONCLUSÕES:O conhecimento das alterações provenientes do procedimento endovascular possibilita conduta anestésica mais adequada e melhora dos resultados perioperatórios nesses pacientes.Unitermos: CIRURGIA, Vascular; DOENÇA, Vascular: aneurisma. SUMMARYLorentz MN, Boni CLA, Soares RR -Anesthesia for Endovascular Surgery of the Abdominal Aorta. BACKGROUND AND OBJECTIVES:Endovascular surgery for aneurism of the aorta is less invasive than the conventional procedure besides other advantages such as the absence of abdominal incision, absence of ligature of the aorta, and reduced postoperative recovery time. Since it is a relatively new procedure and to presenting a series of changes that should be known by the anesthesiologist, the objective of this report was to review the most relevant aspects of endovascular surgery, allowing more adequate perioperative anesthetic management. CONTENTS:A brief description of the technique of endovascular aneurism repair, possible vantages and disadvantages of its use, as well as potential complications are discussed. CONCLUSIONS:Knowledge of the changes secondary to the endovascular procedure allows a more adequate anesthetic conduct and improves the postoperative results in those patients.

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“…This visualization can identify tissue (ie, the inguinal ligament) that might prevent the sutures from sliding down onto the artery, leading to failure of the closure technique. [35][36][37][38] There are many data to support this technique and the use of ultrasound guidance. The most compelling support for ultrasound guidance for PEVAR was published in a study by Sarmiento et al, 7 who found that the use of ultrasound guidance led to a 10-fold greater likelihood of success compared with PEVAR without ultrasound guidance (P=0.03).…”

Section: Closure Devices For Endovascular Interventionsmentioning

confidence: 99%