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

  • Vascular and Interventional Radiology
  • Published:
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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.

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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

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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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Authors and Affiliations

  1. Unità Operativa Semplice dipartimentale di Radiologia Interventistica, Ente Ecclesiastico Ospedale Generale Regionale “F. Miulli”, Acquaviva delle Fonti, BA, Italy

    Sergio Petronelli & Silvia Giambersio

  2. Unità Operativa Complessa di Chirurgia Vascolare, Dipartimento Chirurgico, Ente Ecclesiastico Ospedale Generale Regionale “F. Miulli”, Acquaviva delle Fonti, BA, Italy

    Maria Teresa Zurlo

  3. Dipartimento di Scienze Radiologiche, Istituto di Radiologia, Università Cattolica del Sacro Cuore, Policlinico “A. Gemelli”, Largo A. Gemelli 8, Rome, RM, Italy

    Lucia Danieli & Mariaelena Occhipinti

  4. Strada Provinciale Acquaviva Santeramo Km 4,1, 70021, Acquaviva delle Fonti, BA, Italy

    Sergio Petronelli

Authors
  1. Sergio Petronelli
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  2. Maria Teresa Zurlo
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  3. Silvia Giambersio
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  4. Lucia Danieli
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  5. Mariaelena Occhipinti
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Correspondence to Sergio Petronelli.

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Petronelli, S., Zurlo, M.T., Giambersio, S. et al. A single-centre experience of 200 consecutive unselected patients in percutaneous EVAR. Radiol med 119, 835–841 (2014). https://doi.org/10.1007/s11547-014-0399-7

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  • DOI: https://doi.org/10.1007/s11547-014-0399-7

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