Percutaneous transfemoral placement of a new flexible stent-graft into thethoracic aorta followed by a percutaneous suture-mediated closure of the access site - Initial experience.

Citation
C. Manke et al., Percutaneous transfemoral placement of a new flexible stent-graft into thethoracic aorta followed by a percutaneous suture-mediated closure of the access site - Initial experience., ROFO-F RONT, 173(5), 2001, pp. 442-447
Citations number
12
Language
TEDESCO
art.tipo
Article
Categorie Soggetti
Radiology ,Nuclear Medicine & Imaging
Journal title
ROFO-FORTSCHRITTE AUF DEM GEBIET DER RONTGENSTRAHLEN UND DER BILDGEBENDEN VERFAHREN
ISSN journal
1438-9029 → ACNP
Volume
173
Issue
5
Year of publication
2001
Pages
442 - 447
Database
ISI
SICI code
1438-9029(200105)173:5<442:PTPOAN>2.0.ZU;2-R
Abstract
Purpose: To evaluate the transfemoral placement of a new, flexible stent-gr aft into the thoracic aorta and the suture-mediated closure of the femoral access. Patients and Methods: Five patients were treated endovascularly wit h a stent-graft for an aneurysm (n=3) or acute dissection (n=2) of the thor acic aorta via a femoral 24 F sheath. The femoral access site was closed wi th two suture-mediated closure devices after placement of the stent-graft. Results: The aneurysm or the false lumen was excluded from perfusion by the placement of the stent-graft in all patients. Hemostasis at the femoral ac cess site was successful in all patients with the percutaneous suture devic e. A minor stenosis of the femoral artery was found angiographically in fou r patients after suture-mediated closure. Besides a reversible renal failur e due to the medically induced hypotension for the treatment of an acutely ruptured aneurysm, no complications resulted from the stent-graft placement or the percutaneous suture. Conclusion: The percutaneous transfemoral plac ement of stent-grafts in the thoracic aorta using a suture-mediated closure of the access site is technically feasible. Long-term results of the techn ique have to be awaited.