Diameter change of common femoral arteries after percutaneous endovascular aortic repair with the use of the preclose technique Yang-Yu Lin, MD, Ren-Fu.

Slides:

Advertisements

Similar presentations

Ultrasound-determined diameter measurements are more accurate than axial computed tomography after endovascular aortic aneurysm repair Sukgu M. Han,

Advertisements

A patient with multiple paradoxical emboli

Lee J. Goldstein, MD, Combiz Rezayat, MD, Gautam V

Graft infection after endovascular abdominal aortic aneurysm repair

Acute blunt traumatic injury to the descending thoracic aorta

Endovascular repair of an aortic arch pseudoaneurysm by an atrial septal defect occluder combined with a chimney stent Guangqi Chang, MD, Wei Chen, MD,

Surgeon-modified fenestrated-branched stent grafts to treat emergently ruptured and symptomatic complex aortic aneurysms in high-risk patients Joseph.

Chris Burke, MD, Sherene Shalhub, MD, MPH, Benjamin W. Starnes, MD

Femoral artery calcification as a determinant of success for percutaneous access for endovascular abdominal aortic aneurysm repair Jesse M. Manunga,

Impact on outcomes by measuring tortuosity with reporting standards for thoracic endovascular aortic repair Chun-Ku Chen, MD, I-Ping Liang, MD, Hsiao-Ting.

A percutaneous arterial closure protocol can decrease complications after endovascular interventions in vascular surgery patients Philip P. Goodney,

Sara-Jane Smith, BM, Oliver T. A. Lyons, MRCS, Ashish S

Role of type II endoleak in sac regression after endovascular repair of infrarenal abdominal aortic aneurysms Jared Kray, DO, Spencer Kirk, DO, Jan Franko,

Xiaobai Wang, MD, Yan Zhang, MD, Chengzhi Li, MD, Hong Zhang, MD

Clinical significance of type II endoleaks after thoracic endovascular aortic repair Moritz S. Bischoff, MD, Philipp Geisbüsch, MD, Drosos Kotelis, MD,

Arash Bornak, MD, Ross Milner, MD Journal of Vascular Surgery

Jason Zakko, BA, Salvatore Scali, MD, Adam W. Beck, MD, Charles T

Rachel E. Clough, MB, BS, BSc, MRCS, Jane A. Topple, MB, BS, Hany A

Endovascular management of TransAtlantic Inter-Society Consensus D iliac artery occlusion secondary to radiation arteritis Jonathan Lee, BS, Palma Shaw,

Endovascular repair of tortuous recurrent femoral-popliteal aneurysm in a patient with Loeys-Dietz syndrome Sophie Wang, BS, Amber Kernodle, MD, MPH,

Novel temporary endovascular shunt technique to assist in situ fenestration for endovascular reconstruction of the distal aortic arch Jiang Xiong, MD,

The feasibility of endovascular aortic repair strategy in treating infected aortic aneurysms Chung-Dann Kan, MD, PhD, Hsu-Ting Yen, MD, Chung-Ben Kan,

Lower extremity compartment syndrome after elective percutaneous fenestrated endovascular repair of an abdominal aortic aneurysm John F. Charitable,

Endovascular native vessel recanalization to maintain limb perfusion after infected prosthetic vascular graft excision Victor Z. Erzurum, MD, Dan Clair,

Thoracic endovascular aortic repair of aortobronchial fistulas

Is three-dimensional computed tomography reconstruction justified before endovascular aortic aneurysm repair? L.Richard Sprouse, MD, George H. Meier,

Deming Wang, MD, Lixin Su, PhD, Yifeng Han, MD, Xindong Fan, MD

Treatment of primary infected aortic aneurysm without aortic resection

Transcatheter closure of recurrent aortic pseudoaneurysm previously treated by Amplatzer occluder device Jamal Hussain, MD, Robert Strumpf, MD, Aslan.

Type II endoleak prevention with coil embolization during endovascular aneurysm repair in high-risk patients Dominique Fabre, MD, Elie Fadel, PhD, Philippe.

Endovascular repair of an iliac artery aneurysm in a patient with Ehlers-Danlos syndrome type IV Britt H. Tonnessen, MD, W. Charles Sternbergh, MD, Krishna.

Journal of Vascular Surgery

Ultrasound-guided percutaneous endovascular aneurysm repair success is predicted by access vessel diameter Rodney P. Bensley, MD, Rob Hurks, MD, Zhen.

Endovascular repair of a celiac trunk aneurysm with a new multilayer stent Giampaolo Carrafiello, MD, Nicola Rivolta, MD, Matteo Annoni, MD, Federico.

Jonathan J. Sexton, MD, David R. Whittaker, MD

Total percutaneous access for endovascular aortic aneurysm repair (“Preclose” technique) W. Anthony Lee, MD, Michael P. Brown, DO, Peter R. Nelson, MD,

Pegge Halandras, MD, Ross Milner, MD Journal of Vascular Surgery

Implantation sequence modification averts distal stent graft-induced new entry after endovascular repair of Stanford type B aortic dissection I-Ming.

Retrograde popliteal approach for challenging occlusions of the femoral-popliteal arteries Meng Ye, PhD, MD, Hao Zhang, MD, PhD, Xiaozhong Huang, MD,

Kenneth Ouriel, MD, Daniel G. Clair, MD, K

Intra-operative DynaCT improves technical success of endovascular repair of abdominal aortic aneurysms Lukla Biasi, MD, Tahir Ali, MBChB, MRCS, Lakshmi.

The trifurcated endograft technique for hypogastric preservation during endovascular aneurysm repair David J. Minion, MD, Eleftherios Xenos, MD, Ehab.

Conduits and endoconduits, percutaneous access

Patrick A. Stone, MD, John E. Campbell, MD, Karinna H

Surgical versus endovascular treatment of traumatic thoracic aortic rupture Philippe Amabile, MD, Frédéric Collart, MD, Vlad Gariboldi, MD, Gilles Rollet,

Traumatic arteriovenous fistula 52 years after injury

Translumbar thrombin embolization of an aortic pseudoaneurysm complicating lumbar disk surgery Geert Maleux, MD, Didier Bielen, MD, Sam Heye, MD, Patrick.

Outcome of drug-eluting balloon angioplasty versus endarterectomy in common femoral artery occlusive disease Tzu-Ting Kuo, MD, Po-Lin Chen, MD, Chun-Yang.

Off-label use of Angio-Seal vascular closure device for the repair of femoral pseudoaneurysm after transfemoral coronary intervention Yusuke Watanabe,

Hybrid thoracic endovascular aortic repair of ascending aortic pseudoaneurysm Toshihito Gomibuchi, MD, Tetsuya Kono, MD, Kouhei Takahashi, MD, Yuko Wada,

Hybrid Endovascular Exclusion of a Bleeding Innominate Artery Pseudoaneurysm in a Patient With No Open Surgical Options Asad J. Choudhry, MBBS, Palma.

Proximal aortic perforation after endovascular repair of a type B dissection in a patient with Marfan syndrome Jasper W. van Keulen, MD, Frans L. Moll,

Endovascular management of superior mesenteric artery pseudoaneurysm

Aortic remodeling after endovascular repair with stainless steel-based stent graft in acute and chronic type B aortic dissection Chih-Pei Ou Yang, MD,

Late renal artery stent fracture with pseudoaneurysm after fenestrated endovascular abdominal aortic aneurysm repair Shanil M. Yapa, MSc, MBBS, Kishore.

Endovascular treatment of traumatic thoracic aortic injury—should this be the new standard of treatment? Peter H. Lin, MD, Ruth L. Bush, MD, Wei Zhou,

Endovascular repair of a penetrating thoracic aortic ulcer by way of the carotid artery Michael J Heidenreich, MD, David G Neschis, MD, Michael J Costanza,

True abdominal aortic aneurysm in Marfan syndrome

Detection of common carotid artery stenosis using duplex ultrasonography: A validation study with computed tomographic angiography David P. Slovut, MD,

Outcome after celiac artery coverage during endovascular thoracic aortic aneurysm repair: Preliminary results Sarat K. Vaddineni, MD, Steve M. Taylor,

Endovascular repair of stent graft collapse by stent-protected angioplasty using a femoral-brachial guidewire Drosos Kotelis, MD, Ruben Lopez-Benitez,

Endovascular repair of a Kommerell's diverticulum in a patient with a left-sided aortic arch and right-sided descending thoracic aorta Paul J. Riesenman,

John F. Bilello, MD, FACS, Peter L

John L. Anderson, Donald J. Adam, MD, Michael Berce, David E. Hartley

Repair of juxtarenal para-anastomotic aortic aneurysms after previous open repair with fenestrated and branched endovascular stent grafts Donald J. Adam,

Endovascular repair of a type B aortic dissection with a ventricular septal defect occluder Guangqi Chang, MD, Huishen Wang, MD, Wei Chen, MD, Chen Yao,

Infected endovascular aneurysm repair graft complicated by vertebral osteomyelitis Christopher Lowe, MRCS, Anthony Chan, MRCS, Neil Wilde, FRCR, Simon.

Thomas L. Forbes, MD, Gregory E.J. Harding, MD

Endoleaks after endovascular repair of thoracic aortic aneurysms

Percutaneous fenestrated endovascular aortic graft treatment of aortocaval fistula with aortic pseudoaneurysms secondary to penetrating trauma Sheila.

Presentation transcript:

Diameter change of common femoral arteries after percutaneous endovascular aortic repair with the use of the preclose technique Yang-Yu Lin, MD, Ren-Fu Shie, MD, Kuo-Sheng Liu, MD, Shang-Yueh Yu, MD, I-Hao Su, MD, Chien-Ming Chen, MD, Sin-Yi Lyu, MD, Po-Jen Ko, MD Journal of Vascular Surgery Volume 60, Issue 1, Pages 50-56 (July 2014) DOI: 10.1016/j.jvs.2014.01.035 Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 1 Flow chart of patient selection. CFA, Common femoral artery; CT, computed tomography; PEVAR, Percutaneous endovascular aortic repair. Journal of Vascular Surgery 2014 60, 50-56DOI: (10.1016/j.jvs.2014.01.035) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 2 Measurement of common femoral artery (CFA) diameter. A, The puncture tract (arrow) could be delineated on the axial view of computed tomographic angiography. B, As a line was drawn through the puncture tract (dashed line), the distance between the inner walls was defined as the inner diameter (ID), whereas the distance between the outer walls was defined as the outer diameter (OD). Journal of Vascular Surgery 2014 60, 50-56DOI: (10.1016/j.jvs.2014.01.035) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 3 A, For patients with relative oblique puncture tracts, the arteriotomy (arrow) may be easily delineated on the axial view of computed tomographic angiography. B and C, Under the circumstances, the reconstructed sagittal (Sag) view or multiplanar reformation (MPR) images can help to identify the puncture tract (arrows) and to locate the arteriotomy. Journal of Vascular Surgery 2014 60, 50-56DOI: (10.1016/j.jvs.2014.01.035) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 4 The puncture tract (arrow) was optimally delineated on computed tomographic angiography performed 1 month after percutaneous endovascular aortic repair (PEVAR) and gradually resolved in the following 11 months. Journal of Vascular Surgery 2014 60, 50-56DOI: (10.1016/j.jvs.2014.01.035) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 5 Box-and-whisker graph plots show the common femoral artery (CFA) diameter change during the 1-year follow-up period. A, No significant difference in the inner diameter (ID) among the periods occurred. B, The outer diameter (OD) demonstrated a significant initial increase 1 month after percutaneous endovascular aortic repair (PEVAR) but gradually decreased in size in the following 11 months. The final OD at 12 months was still significantly increased compared with that at baseline. Journal of Vascular Surgery 2014 60, 50-56DOI: (10.1016/j.jvs.2014.01.035) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 6 Box-and-whisker graph plots show the percentage change of the outer diameter (OD) observed by means of subgroup analysis at 1, 6, and 12 months after surgery. One month after percutaneous endovascular aortic repair (PEVAR), both the sheath size and the number of closure devices significantly affected the OD change. Six months after PEVAR, the number of closure devices still demonstrated a significant effect on the OD change; however, no significant difference occurred among the 12-16F and 18-24F sheath subgroups. At the end of the follow-up period, no significant difference occurred among any of the subgroups. Journal of Vascular Surgery 2014 60, 50-56DOI: (10.1016/j.jvs.2014.01.035) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

Fig 7 Patient with left common femoral artery (CFA) pseudoaneurysm (arrows) 1 month after percutaneous endovascular aortic repair (PEVAR). A, Axial view. B, Sagittal (Sag) view. Journal of Vascular Surgery 2014 60, 50-56DOI: (10.1016/j.jvs.2014.01.035) Copyright © 2014 Society for Vascular Surgery Terms and Conditions