Percutaneous placement of a low-profile stent-graft device for XXXX .

@entity1 @entity1580 @entity736 @entity715 @entity2849
PURPOSE: The use of stent-grafts has proved to be safe and effective treatment for complicated @entity1580 but usually requires surgical cutdown to accommodate large-profile devices. Preliminary results of the use of a low-profile design that allows percutaneous access are presented. MATERIALS AND METHODS: Fifteen @entity1 with @entity1580 were treated with use of a low-profile stent-graft. Dissection types included Stanford type A (n = 6) and type B (n = 9). The procedures were performed with use of Perclose devices to achieve hemostasis. The stent-graft device was composed of Gianturco stents connected with longitudinal wire struts covered with radially expanded @entity736 . The delivery sheath sizes were 14-20 F. RESULTS: In 87% of @entity1 (13 of 15), the entry tear was excluded completely. Successful femoral closures were achieved in 93% of @entity1 (14 of 15) with use of the suture-mediated devices. In 7% of @entity1 (one of 15), surgical closure of the femoral arteries was required. The rate of @entity2849 occurrence was 7% (one of 15). Hospitalization ranged from 1 to 30 days with a mean duration of 6.5 days. The 30-day mortality rate was 27% (four of 15). In the remaining 11 @entity1 , entry tear sites were excluded and, on follow-up CT examinations, there was @entity715 and retraction of the false lumen and enlargement of the true lumen. CONCLUSION: Preliminary results of the use of a low-profile stent-graft device to treat @entity1580 show that, in most @entity1 , it can be used with a suture-mediated device without surgical exposure of the common femoral artery.
