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CardioVascular and Interventional Radiology

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01-06-2013 | Review/State of the Art

The Preclose Technique in Percutaneous Endovascular Aortic Repair: A Systematic Literature Review and Meta-analysis

Authors: Abdel Aziz A. Jaffan, Ethan A. Prince, Christopher O. Hampson, Timothy P. Murphy

Published in: CardioVascular and Interventional Radiology | Issue 3/2013

Abstract

Purpose

To establish the efficacy and safety of the preclose technique in total percutaneous endovascular aortic repair (PEVAR).

Methods

A systematic literature search of Medline database was conducted for series on PEVAR published between January 1999 and January 2012.

Results

Thirty-six articles comprising 2,257 patients and 3,606 arterial accesses were included. Anatomical criteria used to exclude patients from undergoing PEVAR were not uniform across all series. The technical success rate was 94 % per arterial access. Failure was unilateral in the majority (93 %) of the 133 failed PEVAR cases. The groin complication rate in PEVAR was 3.6 %; a minority (1.6 %) of these groin complications required open surgery. The groin complication rate in failed PEVAR cases converted to groin cutdown was 6.1 %. A significantly higher technical success rate was achieved when arterial access was performed via ultrasound guidance. Technical failure rate was significantly higher with larger sheath size (≥20F).

Conclusion

The preclose technique in PEVAR has a high technical success rate and a low groin complication rate. Technical success tends to increase with ultrasound-guided arterial access and decrease with larger access. When failure occurs, it is unilateral in the majority of cases, and conversion to surgical cutdown does not appear to increase the operative risk.

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Title: The Preclose Technique in Percutaneous Endovascular Aortic Repair: A Systematic Literature Review and Meta-analysis
Authors: Abdel Aziz A. Jaffan
Ethan A. Prince
Christopher O. Hampson
Timothy P. Murphy
Publication date: 01-06-2013
Publisher: Springer-Verlag
Published in: CardioVascular and Interventional Radiology / Issue 3/2013
Print ISSN: 0174-1551
Electronic ISSN: 1432-086X
DOI: https://doi.org/10.1007/s00270-013-0593-3

At a glance: The STEP trials

Springer Medicine

The Preclose Technique in Percutaneous Endovascular Aortic Repair: A Systematic Literature Review and Meta-analysis

Abstract

Purpose

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Purpose

Methods

Results

Conclusion

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