Zusammenfassung
Die perkutane Endoprothesenimplantation in Preclose-Technik bei Bauchaortenaneurysma ist eine minimal-invasive Methode mit aktuell geringstmöglichem Weichteil- und Gefäßtrauma im Bereich des femoralen Zugangs. Sie bietet Vorteile hinsichtlich der kürzeren Operationszeit und dem selteneren Auftreten von lokalen Wundkomplikationen. Risikofaktoren für eine chirurgische Konversion des Gefäßzugangs sind geringe Erfahrung des Operateurs mit dem Verschlusssystem und Kalzifikationen der A. femoralis communis. Adipositas und die Größen der verwendeten Schleusen sind es nicht.
Abstract
The percutaneous implantation of endografts for abdominal aortic aneurysms using the Preclose technique is a minimally invasive method with low soft tissue and vascular trauma at the access site compared to surgical cut-down. It has advantages concerning operative time and local wound complications. Risk factors for primary failure are low operator experience with the closure device, anterior wall calcification and severe fibrosis of the access vessel, whereas obesity and sheath size are not.
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Literatur
Borner G, Ivancev K, Sonesson B et al (2004) Percutaneous AAA repair: is it safe? J Endovasc Ther 11:621–626
Can A, Torsello G, Umscheid T (2008) The arterial approaches for endovascular aortic grafting. In: Branchereau A, Jacobs M (Eds.) Endovascular Aortic Repair: The State of The Art. Blackwell Publishing, Oxford 57–61
Criado FJ (2010) Percutaneous EVAR: Real Advance or Gimmick? Examining the advantages of this procedure versus those of a traditional surgical cutdown approach. Endovascular today 5
Diethrich EB (1997) What do we need to know to achieve durable endoluminal abdominal aortic aneurysm repair? Tex Heart Inst J 24:179–184
Eisenack M, Umscheid T, Tessarek J et al (2009) Percutaneous endovascular aortic aneurysm repair: a prospective evaluation of safety, efficiency, and risk factors. J Endovasc Ther 16:708–713
Haas PC, Krajcer Z, Diethrich EB (1999) Closure of large percutaneous access sites using the Prostar XL percutaneous vascular surgery device. J Vasc Surg 6:168–170
Howell M, Doughtery K, Strickman N, Krajcer Z (2002) Percutaneous repair of abdominal aortic aneurysms using the AneuRx stent graft and the percutaneous vascular surgery device. Catheter Cardiovasc Interv 55:281–287
Larzon T, Geijer H, Gruber G et al (2006) Fascia suturing of large access sites after endovascular treatment of aortic aneurysm and dissections. J Endovasc Ther 13:152–157
Lee WA, Brown MP, Nelson PR et al (2007) Total percutaneous access for endovascular aortic aneurysm repair („preclose“ technique). J Vasc Surg 45:1095–1101
Lee WA, Brown MP, Nelson PR et al (2008) Midterm outcomes of femoral arteries after percutaneous endovascular aortic repair using the preclose technique. J Vasc Surg 47:919–923
Percutaneous Thoracic and Abdominal Aortic Aneurysm Repair (n d) Techniques and Outcomes 1. Melissa E. Hogg* and 2. Melina R. Kibbe* Vascular September 1, 2006 Bd 14 no. 5 270–281 Figure 3
Starnes BW, Anderson CA, Ronsivalle JA et al (2006) Totally percutaneous aortic aneurysm repair: experience and prudence. J Vasc Surg 43:270–276
Torsello GB, Kasprzak B, Klenk E et al (2003) Endovascular suture versus cutdown for endovascular aneurysm repair: A prospective randomized pilot study. J Vasc Surg 38:78–82
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Schwindt, A., Donas, K. & Torsello, G. Die Preclose-Technik zur perkutanen endovaskulären Therapie abdomineller und thorakaler Aortenaneurysmen. Gefässchirurgie 16, 182–186 (2011). https://doi.org/10.1007/s00772-011-0910-6
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DOI: https://doi.org/10.1007/s00772-011-0910-6