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Percutaneous EndoVascular Aortic Repair (PEVAR) with low profile endovascular graft
Case of the month: August 2017
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. WATCH IT NOW!
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:
- Aorto-iliac bifurcated stent graft AAA with very tortuous and stenosed iliac arteries. Endurant II stent graft - Video
- Totally percutaneous endovascular abdominal aortic aneurysm repair: 30-day results from the independent access-site closure study of the PEVAR trial - Article
- A Real-World Experience Comparison of Percutaneous and Open Femoral Exposure for Endovascular Abdominal Aortic Aneurysm Repair in a Tertiary Medical Center - Article
- Percutaneous versus femoral cutdown access for endovascular aneurysm repair - Article
- Predictive Factors for Additional ProGlide Deployment in Percutaneous Endovascular Aortic Repair - Article
- Percutaneous endovascular aneurysm repair in morbidly obese patients - Article
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Percutaneous EndoVascular Aortic Repair (PEVAR) with low profile endovascular graft
Case of the month: August 2017
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