Totally Percutaneous Aneurysm Sac Embolization During Endovascular Aneurysm Repair
| Autor: | Sandro Irsara, Luca Ferretto |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
Percutaneous Endoleak medicine.medical_treatment 030204 cardiovascular system & hematology Prosthesis Design Endovascular aneurysm repair Blood Vessel Prosthesis Implantation 03 medical and health sciences 0302 clinical medicine Aneurysm medicine Humans Radiology Nuclear Medicine and imaging 030212 general & internal medicine Embolization business.industry Endovascular Procedures Percutaneous approach medicine.disease Embolization Therapeutic Abdominal aortic aneurysm Blood Vessel Prosthesis Surgery Treatment Outcome Stents Radiology Cardiology and Cardiovascular Medicine business Vascular Access Devices Aortic Aneurysm Abdominal |
| Zdroj: | Journal of Endovascular Therapy. 24:68-71 |
| ISSN: | 1545-1550 1526-6028 |
| Popis: | Purpose: To describe a sac embolization technique modification for type II endoleak prevention that makes a totally percutaneous approach feasible during endovascular aneurysm repair (EVAR) using the Excluder stent-graft. Technique: Percutaneous access of the common femoral arteries is obtained and 2 suture-mediated closure systems are placed on each side. A 16-F or 18-F sheath is placed for delivery of the Excluder stent-graft main body and a 16-F sheath is used on the contralateral side. After the stent-graft and contralateral limb component are delivered to their intended positions, a standard 0.035-inch hydrophilic guidewire is placed into the aneurysm sac through the same 16-F sheath. Then a 5-F, straight, 65-cm-long catheter is advanced over the standard wire into the sac in parallel with the contralateral limb. The contralateral limb is deployed, the standard guidewire is removed; coils are released through the 5-F catheter into the sac, followed by injection of 5 to 10 mL of double-component fibrin glue. Conclusion: Totally percutaneous, nonselective sac embolization during EVAR, with a single access on each femoral artery, is feasible and helpful to physicians who wish to perform intraoperative sac embolization without relevant changes in their usual EVAR procedure. |
| Databáze: | OpenAIRE |
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