Percutaneous transfemoral placement of a new flexible stent-graft into the thoracic aorta followed by a percutaneous suture-mediated closure of the access site - Initial experience.

Manke, Christoph and Kobuch, R. and Lenhart, M. and Strotzer, M. and Merk, J. and Birnbaum, F. and Feuerbach, S. and Link, J. (2001) Percutaneous transfemoral placement of a new flexible stent-graft into the thoracic aorta followed by a percutaneous suture-mediated closure of the access site - Initial experience. ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN, 173 (5). pp. 442-447. ISSN 1438-9029

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Abstract

Purpose: To evaluate the transfemoral placement of a new, flexible stent-graft into the thoracic aorta and the suture-mediated closure of the femoral access. Patients and Methods: Five patients were treated endovascularly with a stent-graft for an aneurysm (n=3) or acute dissection (n=2) of the thoracic aorta via a femoral 24 F sheath. The femoral access site was closed with two suture-mediated closure devices after placement of the stent-graft. Results: The aneurysm or the false lumen was excluded from perfusion by the placement of the stent-graft in all patients. Hemostasis at the femoral access site was successful in all patients with the percutaneous suture device. A minor stenosis of the femoral artery was found angiographically in four patients after suture-mediated closure. Besides a reversible renal failure due to the medically induced hypotension for the treatment of an acutely ruptured aneurysm, no complications resulted from the stent-graft placement or the percutaneous suture. Conclusion: The percutaneous transfemoral placement of stent-grafts in the thoracic aorta using a suture-mediated closure of the access site is technically feasible. Long-term results of the technique have to be awaited.

Item Type: Article
Uncontrolled Keywords: VASCULAR-SURGERY; ANEURYSMS; REPAIR; RECONSTRUCTION; DISSECTION; DRAINAGE; WOUNDS; aorta, aneurysm; aorta, dissection; aorta, stents and prostheses; interventional procedure
Subjects: 600 Technology > 610 Medical sciences Medicine
Divisions: Medicine > Lehrstuhl für Herz-, Thorax- und herznahe Gefäßchirurgie
Medicine > Lehrstuhl für Röntgendiagnostik
Depositing User: Dr. Gernot Deinzer
Date Deposited: 01 Feb 2022 15:31
Last Modified: 01 Feb 2022 15:31
URI: https://pred.uni-regensburg.de/id/eprint/41483

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