E-ISSN 1305-3612
Interventional Radiology - Original Article
Ultrasound-guided puncture of the femoral artery for total percutaneous aortic aneurysm repair
1 Department of Radiology, Bahçelievler Medical Park Hospital, İstanbul, Turkey  
2 Department of Radiology, Abant İzzet Baysal University School of Medicine, Bolu, Turkey.  
3 Departments of Anesthesiology, Başkent University School of Medicine, Ankara, Turkey  
4 Department of Radiology, Şifa Hospital, İzmir, Turkey.  
5 Department of Radiology , Başkent University School of Medicine Research and Training Hospital, Adana, Turkey.  
6 Departments of Thoracic and Cardiovascular Surgery Başkent University School of Medicine, Ankara, Turkey  
Diagn Interv Radiol 2012; 18: 92-95
DOI: 10.4261/1305-3825.DIR.4061-10.1
Key Words: aortic aneurysm • closure device • access artery• ultrasonography
Abstract

 

PURPOSE
The purpose of this study was to evaluate the outcomes of ultrasound-guided femoral artery access for total percutaneous endovascular repair of abdominal and thoracic aortic aneurysms.

 

MATERIALS AND METHODS
Total percutaneous aneurysm repair of the abdominal and thoracic aorta was performed in 52 consecutive patients (46 males, 6 females; mean age, 64.6±16 years; age range, 24–93 years) in a total of 85 access arteries. Of the aortic aneurysms repaired, 33 were abdominal, and 19 were thoracic. Ultrasound- guided puncture of the access artery was performed in all patients. The access artery was closed with a Prostar XL device at the end of the procedure.

 

RESULTS
The outer diameter of the vascular sheaths or the stent graft system ranged from 14 F to 27 F. All but one patient achieved successful closure of the arterial puncture with the closure device. One patient required surgical cutdown because of device failure. Two patients required long-duration manual compression. Technical success was achieved in 49 patients (94%). Forty-five patients (87%) were discharged on the first postoperative day. There were no complications of the access arteries one day or one month postoperatively, as determined by ultrasonography and computed tomography examinations, respectively. The mean diameters of the access arteries prior to and one month after the procedure were unchanged, as demonstrated by computed tomography.

 

CONCLUSION
Ultrasound-guided puncture of the common femoral artery for percutaneous closure of the access site has a high technical success rate and a very low complication rate. The addition of ultrasound guidance decreases the difficulty of the procedure and helps to avoid some of its complications.

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