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

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Presentation on theme: "Diameter change of common femoral arteries after percutaneous endovascular aortic repair with the use of the preclose technique  Yang-Yu Lin, MD, Ren-Fu."— Presentation transcript:

1 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 (July 2014) DOI: /j.jvs Copyright © 2014 Society for Vascular Surgery Terms and Conditions

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

3 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  , 50-56DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

4 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  , 50-56DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

5 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  , 50-56DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

6 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  , 50-56DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

7 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  , 50-56DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

8 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  , 50-56DOI: ( /j.jvs ) Copyright © 2014 Society for Vascular Surgery Terms and Conditions

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