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[Percutaneous endovascular aneurysm repair without arteriotomy (Perclose system)]
M Skowasch1, W-R Seemann, M Tischendorf
1CardioVasculäres Centrum Frankfurt, Sankt Katharinen und Medizinische Klinik I des Sankt Katharinen Krankenhaus, Frankfurt.
Deutsche Medizinische Wochenschrift (1946)
|May 13, 2005
Summary
The Perclose device offers a less invasive way to close femoral artery access sites after aortic aneurysm repair, reducing hospital stays and enabling outpatient treatment.
Area of Science:
- Vascular Surgery
- Endovascular Interventions
- Medical Device Technology
Background:
- Arteriotomy is standard for endovascular aortic aneurysm repair.
- Percutaneous closure using the Perclose device offers an alternative without surgical cut-down.
Purpose of the Study:
- To evaluate the feasibility and effectiveness of the Perclose device for femoral artery closure after endovascular aortic aneurysm repair.
- To assess the impact of this technique on invasiveness and hospital stay.
Main Methods:
- The Perclose device, with suture loops, was used to close femoral artery access sites post-puncture before sheath removal.
- Hemostasis was attempted in 104 femoral arteries (60 patients) using the Perclose system for large sheaths (12-27 F).
Main Results:
- Percutaneous graft implantation was successful in 58/60 patients.
- The Perclose system achieved hemostasis in 97/104 femoral arteries, with minor complications (1 false aneurysm, 1 hemorrhage).
- Median hospital stay was 18 hours, with most patients discharged within 24 hours.
Conclusions:
- Femoral artery closure with the Perclose system is technically feasible and effective for large-bore access.
- This percutaneous technique reduces invasiveness and shortens hospital stays, facilitating outpatient endovascular aortic aneurysm repair.