Video : Percutaneous EndoVascular Aortic Repair (PEVAR) with low profile endovascular graft

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Endovascular / Aorto-iliac / Aorta / Case in the box

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This 25-minute case concerns a 74-year-old man with an infrarenal abdominal aortic aneurysm that measures 65 mm. The patient is treated with a low profile endograft under local anesthesia and a complete percutaneous approach with pre-closing.

Step-by-Step Procedure:

Introduction and description of the case
Selection of aortic endograft and iliac branches
Right and left femoral percutaneous pre-closing under external echography
Placement of aortic endograft body
Placement of the left iliac endograft branch
Placement of the right iliac endograft branch
Dilatation of the endograft (aortic and iliac)
Final results
Closing of left and right groin and conclusion

Learning points:

Complete percutaneous approach of right and left femoral access
Abdominal aortic aneurysm CT scan analysis for aorta and iliac arteries
Selection of aortic endograft and iliac branches
Technique of pre-closing under external echography
Steps for aortic and iliac endograft placement
Percutaneous closing of large femoral access

Bibliography:

Shooting date : 0000-00-00
Last update : 2021-05-11

INCRAFT® AAA Stent Graft System / Cordis

EVAR technology

Perclose ProGlide / Abbott

Suture-Mediated Closure System

9 comments

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Max A. Excellent Step by Step case . Thank U Dr Pratesi & Dr Barbante .

2017-08-05, 12h49
- Giovanni P. Thank you Dr Amor for selecting our case as case of the month. Kindest regards, G
  
  2017-08-06, 16h03
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Park J. I am from korea. your case show the standard step-by-step EVAR procedure delicately and kindly. next time i hope you make a chance for the standard iliac artery embolization. I want that method from european style. thanks for nice case.

2017-08-06, 3h16
- Giovanni P. Thanks Dr Hong. It will be our pleasure...even if internal iliac artery embolization procedure is a very rare procedure in the iliac branch endograft era. Regards, G
  
  2017-08-06, 16h06
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dHAMANEKAR M. Good case . With low dose

2017-08-06, 5h01
- Giovanni P. Thanks Dr Maruti. Is this your experience also? G
  
  2017-08-06, 16h07
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FAROUK E. VERY NICE STEP AND WISE DEPLOYMENT ... WELL DONE SIR ....

2017-11-22, 7h16
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aksüyek A. nice case..

2019-04-21, 20h04
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Alexandre P. Interesting

2022-10-24, 15h27
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Percutaneous EndoVascular Aortic Repair (PEVAR) with low profile endovascular graft

Case of the month: August 2017

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