Percutaneous thoracic and abdominal aortic aneurysm repair: Techniques and outcomes

Melissa E. Hogg, Melina R. Kibbe*

*Corresponding author for this work

Research output: Contribution to journalReview articlepeer-review

18 Scopus citations

Abstract

Endovascular repair of infrarenal abdominal aortic aneurysms (EVAR) has become a widely accepted treatment modality. The conventional approach of an EVAR involves bilateral groin incisions to expose the femoral arteries followed by introducer sheath placement, which is typically performed with the use of general or epidural anesthesia. As technology trends toward less invasive methods and sheath sizes become smaller, the use of a total percutaneous approach to endovascular repair of aortic pathology is becoming more common. In this review, we present a brief history of percutaneous closure devices for common femoral artery access, factors important in patient selection, the technique of performing a percutaneous EVAR procedure, early and late complications, and overall outcomes of percutaneous approaches for the endovascular treatment of aortic pathology.

Original languageEnglish (US)
Pages (from-to)270-281
Number of pages12
JournalVascular
Volume14
Issue number5
DOIs
StatePublished - Sep 2006

Keywords

  • Abdominal aortic aneurysm
  • Atherosclerosis
  • Endovascular interventions

ASJC Scopus subject areas

  • Surgery
  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine

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