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A New Murine Model of Endovascular Aortic Aneurysm Repair
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A New Murine Model of Endovascular Aortic Aneurysm Repair

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Percutaneous Endovascular Aortic Aneurysm Repair for Abdominal Aortic Aneurysm

Christopher M Huff1, Mitchell J Silver1, Gary M Ansel2,3

  • 1OhioHealth Heart and Vascular Institute, Riverside Methodist Hospital, 3535 Olentangy River Road, Columbus, OH, USA.

Current Cardiology Reports
|July 27, 2018
PubMed

Insights

Percutaneous endovascular aortic aneurysm repair (PEVAR) offers reduced complications, shorter stays, and lower costs compared to traditional EVAR. This minimally invasive technique is recommended for both stable and ruptured abdominal aortic aneurysms in suitable patients.

Area of Science:

  • Cardiovascular Surgery
  • Vascular Medicine
  • Minimally Invasive Procedures

Background:

  • Endovascular Aortic Aneurysm Repair (EVAR) has become a standard treatment for abdominal aortic aneurysms.
  • Traditional EVAR often involves surgical exposure of the femoral artery.
  • Minimally invasive approaches are sought to improve patient outcomes and reduce healthcare costs.

Purpose of the Study:

  • To review the benefits of a completely percutaneous approach to EVAR (PEVAR).
  • To outline the multidisciplinary team approach for performing PEVAR.
  • To compare PEVAR with traditional EVAR methods.

Main Methods:

  • Review of existing literature on percutaneous EVAR techniques.
  • Description of a multidisciplinary team's protocol for PEVAR.
  • Comparative analysis of PEVAR versus surgical femoral artery exposure EVAR.

Main Results:

  • PEVAR significantly reduces operation time, hospital stay, access site complications, patient discomfort, and procedural costs.
  • PEVAR may be preferred in ruptured aneurysms due to avoidance of general anesthesia, associated with improved 30-day mortality.
  • PEVAR is suggested as the primary method for abdominal aortic aneurysm repair in selected stable and unstable patients.

Conclusions:

  • A completely percutaneous approach (PEVAR) offers significant advantages over traditional EVAR.
  • PEVAR is a safe and effective option for a wide range of patients, including those with ruptured aneurysms.
  • Multidisciplinary collaboration is key to successful PEVAR implementation.
Abstract

Keywords:
Abdominal aortic aneurysmEndovascular repairPercutaneous repairStent graft

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