Percutaneous Endovascular Aortic Aneurysm Repair for Abdominal Aortic Aneurysm

被引:15
|
作者
Huff, Christopher M. [1 ]
Silver, Mitchell J. [1 ]
Ansel, Gary M. [1 ,2 ]
机构
[1] Riverside Methodist Hosp, OhioHlth Heart & Vasc Inst, 3535 Olentangy River Rd, Columbus, OH 43214 USA
[2] Vasc Ohio Hlth, Columbus, OH 43214 USA
关键词
Abdominal aortic aneurysm; Endovascular repair; Stent graft; Percutaneous repair; RANDOMIZED CONTROLLED-TRIAL; COST-EFFECTIVENESS; DISEASE;
D O I
10.1007/s11886-018-1023-6
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
This review discusses the benefits of a completely percutaneous approach to endovascular aortic aneurysm repair (EVAR), and provides an outline as to how this is performed by a multidisciplinary team of cardiologists and cardiovascular surgeons at a quaternary care community hospital. Percutaneous endovascular aortic aneurysm repair (PEVAR) as compared to EVAR utilizing surgical femoral artery exposure is associated with a significant reduction in operation time, length of stay, access site complications, patient discomfort, and procedural cost. Furthermore, PEVAR may be the preferred approach in patients presenting with aneurysm rupture, as the avoidance of general anesthesia has been associated with improved 30-day mortality. Assuming no contraindication based on vascular anatomy, clinical status, or patient preference, these findings suggest that in properly selected patients, PEVAR should be the primary method for abdominal aortic aneurysm repair in both stable and unstable patients.
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页数:5
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