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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Related Experiment Video

Updated: Sep 1, 2025

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
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Initial experiences with percutaneous endovascular aortic reconstruction

Márton Berczeli1, Péter Osztrogonácz1, László Hidi1

  • 11 Semmelweis Egyetem, Általános Orvostudományi Kar, Városmajori Szív- és Érgyógyászati Klinika, Érsebészeti és Endovaszkuláris Tanszék Budapest, Városmajor u. 68., 1122 Magyarország.

Orvosi Hetilap
|August 14, 2022
PubMed
Summary

Percutaneous endovascular aortic repair shows high technical success (97.4%) in eligible patients. This minimally invasive approach for aortic aneurysms offers a safe alternative to traditional surgery, with low access site complications.

Keywords:
PEVARarteria femoralis communiscommon femoral arteryendovascularis aortarekonstrukciópercutaneous aortic repairtechnical successtechnikai sikerességvascular closure devicevascularis záróeszköz

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Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Medical Devices

Background:

  • Percutaneous aortic reconstruction represents a significant advancement in aortic surgery.
  • Vascular closure devices are crucial for enabling arterial access after large-bore endovascular procedures, eliminating the need for surgical cut-downs.

Purpose of the Study:

  • To evaluate the technical success of percutaneous endovascular aortic repair.
  • To report the initial experience and outcomes of this technique in a Hungarian patient cohort.

Main Methods:

  • Prospective collection of patients undergoing endovascular aortic reconstruction from October 2020 to March 2021.
  • Inclusion criteria: suitability for percutaneous common femoral artery access.
  • Analysis of technical success, access-site complications, and associated risk factors.

Main Results:

  • 38 out of 43 patients were eligible for percutaneous repair, predominantly for infrarenal aortic aneurysms (68.4%).
  • Technical success was achieved in 37 patients (97.4%), with 7.9% experiencing access site complications.
  • Higher body mass index (>30 kg/m²) was significantly associated with increased access-related complications (p = 0.008).

Conclusions:

  • Percutaneous endovascular aortic repair is a safe and effective procedure for selected patients.
  • The technique demonstrates a high rate of technical success and manageable access site complications.
  • Common femoral artery access is feasible for percutaneous aortic repair in a significant proportion of patients.