Total percutaneous endovascular aneurysm repair (pEVAR): the initial experience in Hospital Kuala Lumpur
- Author:
Benjamin DK Leong
;
Naresh Govindarajanthran
;
Hafizan Mohd Tajri
;
Kia Lean Tan
;
Hanif Hussein
;
Zainal Ariffin Azizi
- Publication Type:Journal Article
- Keywords:
Abdominal Aortic Aneurysm;
Endovascular Aneurysm Repair;
Percutaneous;
Closure Device
- From:
The Medical Journal of Malaysia
2017;72(2):91-93
- CountryMalaysia
- Language:English
-
Abstract:
Introduction: There has been a paradigm shift in the
treatment of AAA with the advent of endovascular aneurysm
repair (EVAR). Rapid progress and evolution of
endovascular technology has brought forth smaller profile
devices and closure devices. Total percutaneous
endovascular aneurysm repair (pEVAR) involves the usage
of suture-mediated closure devices (SMCDs) at vascular
access sites to avoid a traditional surgical cutdown.
Materials And Methods: We retrospectively reviewed our
experience of pEVAR between April 2013 and July 2014.
Primary success of the procedure was defined as closure of
a common femoral artery (CFA) arteriotomy without the need
for any secondary surgical or endovascular procedure
within 30 days.
Results: In total there were 10 pEVAR cases performed in the
study period, one case in Queen Elizabeth Hospital during
visiting vascular service. Patients have a mean age of 73.4
year old (66-77 year old) The mean abdominal aortic size was
7.2 cm (5.6-10.0cm). Mean femoral artery diameter was 9.0
mm on the right and 8.9 mm on the left. Mean duration of
surgery was 119 minutes (98- 153 minutes). 50% of patients
were discharged at post-operative day one, 30%- day two
and 20%- day three. Primary success was achieved in 9
patients (90%) or in 19 CFA closures (95%). No major
complication was reported.
Discussion: We believe that with proper selection of patients
undergoing EVAR, pEVAR offers a better option of vascular
access with shorter operative time, less post- operative
pain, shorter hospital stay and minimises the potential
complications of a conventional femoral cutdown.
- Full text:P020170509351689006836.pdf
