The Turkish Journal of Vascular Surgery

Yazarlar: Ünal AYDIN, Korhan ERKANLI, Onur ŞEN, Mehmet KARAÇALILAR, Aydın YILDIRIM

Konular:-

Anahtar Kelimeler:Endovascular procedures; total percutaneous closure

Özet: Objective: Endovascular procedures are getting more popular recently. Relatedly, use of percutaneous femoral artery procedures have increased. In this study we analyzed the results of total percutaneous closure devices and the factors causing failure in this procedure. Material and Methods: Total percutaneous closure with "Prostar XL" device was performed in 29 cases between March 2010 and March 2013. There were 14 (48%) females and 15 (52%) males, with a mean age of 75.86±8.8 years. The main procedures were ; thoracic endovascular aortic repair (TEVAR) (n: 3, 4%), endovascular aortic repair (EVAR) (n: 7, 24%), and transcatheter aortic valve implantation (TAVİ) (n: 19, %65). Prostar XL (10F) device was used in all cases. Results: Total percutaneous clo- sure procedures performed with "Prostar XL" were successful in 22 (75%) cases. However, the de- vice failed in 7 (25%) cases, and a surgical cut-down was performed to those. The surgical procedures were: Primary surgical closure (n:4), embolectomy (n:3), and short segment bypass (n:2). The arte- rial distal flow form was detected with Doppler USG in all cases, and it was established as a tripha- sic flow. Conclusion: Total percutaneous closure system is successful in selected cases. However, high success rates for all cases could be possible with further studies and technological advances.

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