A novel technique using the percutaneous vascular surgery device to close the 22 French femoral artery entry site used for percutaneous abdominal aortic aneurysm exclusion
✍ Scribed by Zvonimir Krajcer; Marcus Howell
- Publisher
- John Wiley and Sons
- Year
- 2000
- Tongue
- English
- Weight
- 257 KB
- Volume
- 50
- Category
- Article
- ISSN
- 1522-1946
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✦ Synopsis
Endovascular techniques are now available for treatment of infrarenal abdominal aortic aneurysms (AAA) using various stent-graft systems. The delivery system of these device's call for large, 16 and 22 Fr sheaths, requiring open surgical femoral artery exposure to introduce and remove. We describe a novel technique that can be used to access and close percutaneously these large bore entry sites. We deployed an AneuRx stent-graft into a 68-year-old man for the treatment of an infrarenal AAA. After deployment of the AneuRx stent-graft was completed, the left femoral artery was successfully percutaneously sutured with a 10 Fr and an 8 Fr percutaneous vascular surgery (PVS) device. The right femoral artery was percutaneously sutured with a 10 Fr PVS device. This case describes the technique and demonstrates that the PVS devices can be used to percutaneously close femoral artery entry sites as big as 22F.