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La radiologia medica

, Volume 119, Issue 11, pp 835–841 | Cite as

A single-centre experience of 200 consecutive unselected patients in percutaneous EVAR

  • Sergio PetronelliEmail author
  • Maria Teresa Zurlo
  • Silvia Giambersio
  • Lucia Danieli
  • Mariaelena Occhipinti
Vascular and Interventional Radiology

Abstract

Purpose

This study evaluated the feasibility and safety of percutaneous endovascular aneurysm repair (P-EVAR) in an “unselected” population of patients using Prostar XL closure device, comparing our results with the literature data reported for open EVAR (O-EVAR) and P-EVAR in selected populations.

Materials and methods

We prospectively enrolled 200 patients with abdominal aortic aneurysms to be treated with the P-EVAR procedure, without any selection criteria. Four hundred percutaneous femoral accesses using the Prostar XL closure device were performed. The early follow-up protocol consisted of a Doppler ultrasound (US) examination. Later evaluations were performed with US and computed tomography.

Results

Technical success was achieved in all percutaneous accesses (100 %). Ten early complications related to access site were recorded (10/400; 2.5 %): four pseudoaneurysms and six cases of lower limb ischaemia. Five of ten complications occurred in patients presenting calcification of the common femoral arteries, whereas 4/10 were in patients with “complex” groin anatomy. Eight of ten complications occurred at the access site of the main body of the prosthesis using a sheath size >20 Fr.

Conclusions

Percutaneous endovascular aneurysm repair in “unselected” patients is safe and efficient, with a very low risk of access-related complications, comparable to P-EVAR in selected populations and to the best O-EVAR series.

Keywords

Prostar XL EVAR Percutaneous access Endovascular treatment 

Abbreviations

CFA

Common femoral artery

CT

Computed tomography

EVAR

Endovascular aneurysm repair

Fr

French

G

Gauge

IU

International units

O-EVAR

Open endovascular aneurysm repair

P-EVAR

Percutaneous endovascular aneurysm repair

US

Ultrasound

Notes

Conflict of interest

All the authors, Sergio Petronelli, Maria Teresa Zurlo, Silvia Giambersio, Lucia Danieli, Mariaelena Occhipinti, declare no conflict of interest.

Ethical standard

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008. Informed consent was obtained from all patients for being included in the study.

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Copyright information

© Italian Society of Medical Radiology 2014

Authors and Affiliations

  • Sergio Petronelli
    • 1
    • 4
    Email author
  • Maria Teresa Zurlo
    • 2
  • Silvia Giambersio
    • 1
  • Lucia Danieli
    • 3
  • Mariaelena Occhipinti
    • 3
  1. 1.Unità Operativa Semplice dipartimentale di Radiologia InterventisticaEnte Ecclesiastico Ospedale Generale Regionale “F. Miulli”Acquaviva delle FontiItaly
  2. 2.Unità Operativa Complessa di Chirurgia Vascolare, Dipartimento ChirurgicoEnte Ecclesiastico Ospedale Generale Regionale “F. Miulli”Acquaviva delle FontiItaly
  3. 3.Dipartimento di Scienze Radiologiche, Istituto di RadiologiaUniversità Cattolica del Sacro Cuore, Policlinico “A. Gemelli”RomeItaly
  4. 4.Acquaviva delle FontiItaly

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