Comparison between PeRcutanEous and surgical femoral aCcess for endovascuLar aOrtic repair in patientS with typE III aortic Dissection (PRECLOSE Trial)
| Autor: | Burak Onan, Cagdas Topel, Nedim Uzun, Ahmet Anıl Şahin, Ömer Çelik, Ahmet Güner, Ali Rıza Demir |
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| Rok vydání: | 2020 |
| Předmět: |
Male
medicine.medical_specialty Percutaneous Time Factors Databases Factual Punctures 030204 cardiovascular system & hematology Aortic repair 03 medical and health sciences Blood Vessel Prosthesis Implantation 0302 clinical medicine Femoral access Pregnancy Catheterization Peripheral Medicine Humans Radiology Nuclear Medicine and imaging Vascular closure device In patient 030212 general & internal medicine Aged Retrospective Studies Aortic dissection business.industry High mortality Endovascular Procedures General Medicine Middle Aged medicine.disease Surgery Aortic Aneurysm Femoral Artery Aortic Dissection Treatment Outcome Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Vascular. 29(4) |
| ISSN: | 1708-539X |
| Popis: | Objectives Aortic dissections are cardiovascular events with high mortality and morbidity rates. Management might be either with medical or interventional approach. Recently, thoracic endovascular intervention (TEVAR) becomes the first treatment of choice because of its better results and lower rates of complications in patients with type III aortic dissections. The intervention might be performed via femoral artery either with percutaneous or with surgical approach. Because of large sheath insertion to femoral artery, Pre-close technique is described in literature. The aim of this study was to investigate and compare the outcomes and safety of ‘Pre-close technique’ to surgical approach in patients with type III aortic dissections who underwent TEVAR with femoral access ≥22 F. Methods A total of 96 patients whom had type III aortic dissection and was performed TEVAR were retrospectively included in the study. Fifty-six patients had TEVAR with percutaneous approach and these patients are named as P-TEVAR group, and 40 patients had TEVAR with surgical approach and these patients are named as S-TEVAR group. Pre- and post-procedural data with complications and procedural data during TEVAR were evaluated for both groups and compared in between. Results The main finding was that there was no significant difference between S-TEVAR and P-TEVAR groups in terms of complications and technical success. Operating room time was significantly decreased in P-TEVAR group ( P Conclusions Total percutaneous approach with Pre-close technique using Pro-Glide device is a safe and feasible method of femoral access in patients with type III aortic dissections. |
| Databáze: | OpenAIRE |
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