Canadian experience with percutaneous XXXX repair: short-term outcomes.

@entity1 @entity101 @entity6 @entity548 @entity439 @entity1030 @entity453 @entity1029 @entity1028
BACKGROUND: To decrease the morbidity associated with cut-downs during @entity439 repair, some authors have suggested the totally percutaneous endovascular repair (PEVAR). The goal of this report is to evaluate and describe our centre's experience with the total percutaneous @entity439 repair (PEVAR) for @entity1028 ( @entity1028 ). METHODS: We performed a retrospective analysis of 15 consecutive @entity1 with @entity1028 , including 1 with right common @entity1029 . RESULTS: There were 12 @entity1 and 3 @entity1 with a mean age of 74 (standard deviation [SD] 2) years who underwent PEVAR with a Perclose ProGlide suture-mediated closure system between July 2007 and July 2008. All surgeries were elective. Forty percent of @entity1 had a history of smoking, 73% were @entity101 , 33% were @entity6 , 20% had @entity1030 and 40% had @entity453 . Fourteen @entity1 had bilateral deployment for bifurcated devices (7 bifurcated Gore Excluder, 7 bifurcated Cook Zenith grafts), and 1 @entity1 had unilateral deployment for a Cook Zenith device. The outer diameter of the sheaths used for puncture sites was on average 18.1-Fr (SD 0.6), with main bodies being 21.1-Fr (SD 0.3) and contralateral sides 15-Fr (SD 0.3). Procedural success was 93%, with 1 @entity1 requiring a femoral artery cut-down because of failure of the Perclose device to deploy in the groin. Another @entity1 had persistent @entity548 in 1 puncture site that stopped with skin suturing. @entity439 repair was 100% with no conversion to open surgery and no type-I endoleaks. The mean length of stay in hospital was 2.2 (SD 0.4) days. There were no long-term groin complications at 6 (SD 1) months' follow-up. CONCLUSION: To our knowledge, this is the first Canadian report of experience with PEVAR using the Perclose device. The technique is safe, reliable and allows discharge of @entity1 soon after surgery.
