Title |
Totally percutaneous versus standard femoral artery access for elective bifurcated abdominal endovascular aneurysm repair
|
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Published in |
Cochrane database of systematic reviews, February 2014
|
DOI | 10.1002/14651858.cd010185.pub2 |
Pubmed ID | |
Authors |
Jackson A, Yeoh SE, Clarke M, Alexander Jackson, Su Ern Yeoh, Mike Clarke |
Abstract |
Abdominal aortic aneurysms (AAAs) are a vascular condition with significant risk attached, particularly if they rupture. It is, therefore, critical to identify and repair these as an elective procedure before they rupture and require emergency surgery. Repair has traditionally been an open surgical technique that required a large incision across the abdomen. More recently endovascular aneurysm repairs (EVARs) have become a common alternative. In this procedure, the common femoral artery is exposed via a cut-down approach and a graft is introduced to the aneurysm in this way. This review examines a totally percutaneous approach to EVAR. This technique gives a minimally invasive approach to femoral artery access that may reduce groin wound complication rates and improve recovery time. The technique may, however, be less applicable in patients with, for example, groin scarring or arterial calcification. |
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