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

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Presentation transcript:

Ultrasound-guided percutaneous endovascular aneurysm repair success is predicted by access vessel diameter Rodney P. Bensley, MD, Rob Hurks, MD, Zhen Huang, MD, Frank Pomposelli, MD, Allen Hamdan, MD, Mark Wyers, MD, Elliot Chaikof, MD, Marc L. Schermerhorn, MD Journal of Vascular Surgery Volume 55, Issue 6, Pages 1554-1561 (June 2012) DOI: 10.1016/j.jvs.2011.12.042 Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 1 Proportion of percutaneous endovascular aneurysm repair (P-EVAR) over time from 2005 to 2010. C-EVAR, Cutdown access endovascular aneurysm repair. Journal of Vascular Surgery 2012 55, 1554-1561DOI: (10.1016/j.jvs.2011.12.042) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 2 Change in percutaneous endovascular aneurysm repair (P-EVAR) minimum access vessel diameter over time from 2006 to 2010. Journal of Vascular Surgery 2012 55, 1554-1561DOI: (10.1016/j.jvs.2011.12.042) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 3 Preoperative computed tomography (CT) angiogram with three-dimensional reconstruction showing a patient with heavy plaque burden in the right common femoral and external iliac arteries who experienced percutaneous failure. Journal of Vascular Surgery 2012 55, 1554-1561DOI: (10.1016/j.jvs.2011.12.042) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 4 Minimum access vessel diameter in millimeters (horizontal axis) with the absolute number of treated arteries within each access vessel diameter (left axis) and the proportion of arteries with percutaneous failure within each access vessel diameter (right axis). Journal of Vascular Surgery 2012 55, 1554-1561DOI: (10.1016/j.jvs.2011.12.042) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 5 Sheath size (horizontal axis) with the absolute number of sheaths per French size (left axis) and the proportion of percutaneous failures per sheath size (right axis). Journal of Vascular Surgery 2012 55, 1554-1561DOI: (10.1016/j.jvs.2011.12.042) Copyright © 2012 Society for Vascular Surgery Terms and Conditions

Fig 6 a, Angiogram showing a patient with small-diameter common femoral and external iliac arteries bilaterally where the 7F sheaths are occlusive. b and c, Post endovascular aneurysm repair (EVAR) angiogram showing improved blood flow through the common femoral and external iliac arteries bilaterally after using the “Dotter” technique during abdominal aortic aneurysm (AAA) repair. Journal of Vascular Surgery 2012 55, 1554-1561DOI: (10.1016/j.jvs.2011.12.042) Copyright © 2012 Society for Vascular Surgery Terms and Conditions