Using the Angio-Seal to Achieve Hemostasis in Prosthetic Endovascular Surgery: Report of Three Cases
| Autor: | Francesca Fior, Corrado Pedrazzani, Gerardo Mangiante, Giovanni de Manzoni, Ivan Tomasi, Gian Franco Veraldi, Alfredo Guglielmi, Roberto Dusi, Sebastiano Tasselli |
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| Rok vydání: | 2004 |
| Předmět: |
Male
medicine.medical_specialty medicine.medical_treatment Arterial Occlusive Diseases Aortography Risk Assessment Severity of Illness Index Sampling Studies Hematoma Angioplasty hemostatic device Occlusion medicine Humans angiography Aged Aged 80 and over medicine.diagnostic_test business.industry Anastomosis Surgical vascular access General Medicine Intermittent Claudication medicine.disease Thrombosis Hemostasis Surgical Blood Vessel Prosthesis Surgery Femoral Artery Stenosis Treatment Outcome Hemostasis Angiography hemostatic device vascular access angiography Radiology medicine.symptom business Claudication Vascular Surgical Procedures Follow-Up Studies |
| Zdroj: | Surgery Today. 34:965-967 |
| ISSN: | 1436-2813 0941-1291 |
| DOI: | 10.1007/s00595-004-2807-4 |
| Popis: | At least 10% of patients who undergo bilateral aortofemoral bypass are at risk of needing a reoperation for late prosthetic thrombosis because of reduced outflow as the disease progresses. To prevent occlusion of the prostheses, we performed endovascular surgery with transprosthetic access for distal stenosis. We report our experience of using the Angio-Seal with transprosthetic access after angioplasty in three patients who had undergone bilateral aortofemoral bypass. Hemostasis was achieved in all three patients. There were no complications, such as hemorrhage, hematoma, or prosthetic infection, and all three patients were discharged within 24 h. At the 12-, 15-, and 24-month follow-up, none of the patients had any sign of recurrent claudication. Using the Angio-Seal in bilateral aortofemoral bypass provided the means of treating distal stenosis by endovascular surgery with transprosthetic access. This method is both rapid and safe, and may broaden the indications for the endovascular treatment of distal arteriopathies in patients with vascular prostheses. |
| Databáze: | OpenAIRE |
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