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Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Current status of percutaneous endografting
Bulent Arslan1, Ulku C Turba, Saher Sabri
1Division of Interventional Radiology, University of Virginia Health System, Charlottesville, Virginia.
Seminars in Interventional Radiology
|February 18, 2011
Summary
Endovascular aneurysm repair offers a minimally invasive option for aortic aneurysms. Suture-mediated closure devices enable a totally percutaneous approach, reducing complications associated with traditional surgical cutdowns.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
Background:
- Endovascular aneurysm repair (EVAR) has advanced significantly since the 1990s.
- EVAR is now a first-choice therapy for suitable patients due to low complication rates and comparable outcomes to open surgery.
- Current EVAR endografts require large delivery systems (≥21-French), traditionally necessitating surgical cutdowns for insertion.
Purpose of the Study:
- To provide an overview of suture-mediated closure devices.
- To present experience with the off-label use of these devices for percutaneous closure in EVAR.
- To review the existing literature on percutaneous EVAR access.
Main Methods:
- Review of suture-mediated closure devices.
- Description of off-label application in endovascular aneurysm repair procedures.
- Literature review of percutaneous arterial access for EVAR.
Main Results:
- Suture-mediated closure devices are being explored for totally percutaneous EVAR.
- Off-label use demonstrates feasibility for percutaneous closure of arterial access sites.
- Literature supports the potential of percutaneous approaches to EVAR.
Conclusions:
- Suture-mediated closure devices offer a promising alternative for percutaneous EVAR.
- This approach may reduce invasiveness compared to surgical cutdowns.
- Further research and validation are warranted for widespread adoption.
