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Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation
Published on: August 8, 2025
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[A comparative study on transabdominal versus retroperitoneal approach for abdominal aortic surgery]
1Department of Vascular Surgery, Changhai Teaching Hospital, Second Military Medical University, Shanghai 200433.
Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery]
|November 22, 2001
Summary
The retroperitoneal approach (RPA) for aortic surgery resulted in fewer postoperative complications compared to the transabdominal approach (TAA). RPA is a safer and simpler method for abdominal aortic surgery, reducing hospital stays.
Area of Science:
- Vascular Surgery
- Surgical Approaches
- Abdominal Aortic Aneurysm
Background:
- Abdominal aortic aneurysm (AAA) and aortoiliac occlusive disease (AIOD) require surgical intervention.
- Transabdominal approach (TAA) and retroperitoneal approach (RPA) are surgical methods for aortic reconstruction.
Purpose of the Study:
- To compare the outcomes of transabdominal approach (TAA) versus retroperitoneal approach (RPA) for infrarenal aortic reconstruction.
Main Methods:
- Retrospective analysis of 44 patients undergoing aortic surgery for AAA or AIOD between 1988 and 1996.
- Comparison of TAA (26 patients) and RPA (18 patients) groups.
- Analysis of intraoperative and postoperative complications, mortality, and long-term outcomes.
Main Results:
- No significant difference in intraoperative complications between TAA and RPA groups.
- RPA group showed significantly fewer overall postoperative complications (P < 0.01).
- Higher incidence of prolonged ileus and small bowel obstruction in the TAA group (P < 0.01).
Conclusions:
- The retroperitoneal approach (RPA) is associated with fewer postoperative complications than the transabdominal approach (TAA).
- RPA leads to shorter hospital and intensive care unit stays.
- RPA is considered a safer and simpler approach for abdominal aortic surgery.
