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Rivista di Angiologia
Official Journal of the , the International Union of Phlebology and the
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
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International Angiology 2016 Ottobre;35(5):504-9
Endovascular aneurysm repair with fascia suture technique: short and mid-term results
Ioannis BOUNTOURIS 1, Nikolaos MELAS 1, Georgios I. KARAOLANIS 1, Athanasios SIAFAKAS 1, Theodoros BAZINAS 2, Nikolaos KOURIS 3, Kostantinos LAGIOS 2, Sotirios GEORGOPOULOS 1, Theodossios PERDIKIDES 1 ✉
1 Department of Vascular Surgery Unit, 251 Hellenic Air Force Hospital, Athens, Greece; 2 Department of Interventional Radiology and Neuroradiology, 251 Hellenic Air Force Hospital, Athens, Greece; 3 Department of Anesthesiology, 251 Hellenic Air Force Hospital, Athens Greece
BACKGROUND: Percutaneous endovascular aneurysm repair (p-EVAR), has been widely spread based on the recent improvements in stent-graft technology and mainly in delivery system downsizing. Aim of this study is to investigate the safety and efficacy of fascia suture technique (FST) in p-EVAR during the short and mid-term follow-up (FU).
METHODS: Between April 2011 and July 2013, 64 consecutive patients with abdominal aortic aneurysm were enrolled in a prospective single center registry. Fifty-four patients were eligible for elective p-EVAR assisted by the fascia suture technique. Patients were prospectively followed with duplex scan 24 hours and 30 days postoperatively and with CTA annually thereafter. Femoral haematoma, pseudoaneurysm and limb ischaemia were the primary outcomes.
RESULTS: The study investigated 103 femoral arteries reconstructions using the FST. Intraoperatively, one patient was diagnosed with limb ischaemia treated with open repair. During the short-term, 4 (3.8%) pseudoaneurysms were diagnosed, treated with open (2) or endovascular (2) repair. During mid-term 43 patients (85 arteries, 82.6%) underwent CTA. Eighteen (17.4%) patients were lost at FU. At 12 months CTA two pseudoaneurysms (2.35%) were detected, treated with open repair.
CONCLUSIONS: The FST seems safe and effective for femoral reconstruction after p-EVAR. Complications are comparable to closure devices and to conventional repair.