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Journals / Damar Cerrahi Dergisi / 2014 / Cilt: 23 - Sayı: 1

Total percutaneous closure in endovascular procedures: our Prostar XL experience

Endovasküler uygulamalarda total perkütanöz girişim: Prostar XL' tecrübemiz

Korhan ERKANLI
Ünal AYDIN
Onur ŞEN
Mehmet KARAÇALILAR
Aydın YILDIRIM
Pages
24–28
Publication Date
2022-10-10
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

However, high success rates for all cases could be possible with further studies and technological advances.

📌 3 Key Takeaways

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Objective & Hypothesis:Objective: Endovascular procedures are getting more popular recently.
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Key Findings & Data:Relatedly, use of percutaneous femoral artery procedures have increased.
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Conclusion & Impact:However, high success rates for all cases could be possible with further studies and technological advances.
🔬Design:Research Article
📍Scope:2010 Verileri
⚙️Variables:Domain Parameters

Abstract

Objective: Endovascular procedures are getting more popular recently. Relatedly, use of percutaneous femoral artery procedures have increased. In this study we analyzed the results of total percutaneous closure devices and the factors causing failure in this procedure.Material and Methods: Total percutaneous closure with Prostar XL device was performed in 29 cases between March 2010 and March 2013. There were 14 (48%) females and 15 (52%) males, with a mean age of 75.86±8.8 years. The main procedures were ; thoracic endovascular aortic repair (TEVAR) (n: 3, 4%), endovascular aortic repair (EVAR) (n: 7, 24%), and transcatheter aortic valve implantation (TAVİ) (n: 19, %65). Prostar XL (10F) device was used in all cases.Results: Total percutaneous closure procedures performed with Prostar XL were successful in 22 (75%) cases. However, the device failed in 7 (25%) cases, and a surgical cut-down was performed to those. The surgical procedures were: Primary surgical closure (n:4), embolectomy (n:3), and short segment bypass (n:2). The arterial distal flow form was detected with Doppler USG in all cases, and it was established as a triphasic flow.Conclusion: Total percutaneous closure system is successful in selected cases. However, high success rates for all cases could be possible with further studies and technological advances.

Özet

Amaç: Endovasküler girişimler her geçen gün yaygınlık kazanmaktadır. Buna bağlı olarak femoral arter perkütanöz girişim yöntemlerinin de kullanım sıklığı artmıştır. Çalışmamızda, kliniğimizde uygulanan endovasküler girişimlerde kullanılan total perkütanöz kapatma sisteminin sonuçlarını değerlendirmek ve başarısızlık sebeplerini ortaya çıkarmayı amaçladık.Gereç ve Yöntemler: Mart 2010-Mart 2013 tarihleri arasında 29 olguya Prostar XL cihazı ile total perkütanöz girişim uygulandı. Olgular 14 kadın ve 15 erkekten oluşmaktaydı ve yaş ortalaması da 75,86±8,8 yıldı. Bu seriden 3 (%4) olguya torasik endovasküler replasman (TEVAR), 7 (%24) olguya endovasküler aort replasmanı (EVAR) ve 19 (%65) olguya da transkateter aort valv implantasyonu (TAVİ) işlemleri uygulandı. Tüm olgularda 10F Prostar XL cihazı kullanıldı.Bulgular: Prostar XL ile gerçekleştirilen total perkütanöz girişimlerde 22 (%75) olguya başarılı işlem yapıldı. Diğer 7 (%25) olguda ise açık cerrahi tamir gerçekleştirildi. Cerrahi girişim uygulanan olgularda ise 4 olguya primer tamir, 3 olguya safen ven grefti ile kısa segment bypas ve 2 olguya da embolektomi yapıldı. İşlem sonrası postoperatif dönemde tüm olguların arter distal akımı ve akım formu, skopi ve Doppler ultrasonografi ile kontrol edildi, trifazik akım sağlandığı izlendi.Sonuç: Total perkütanöz yaklaşım seçilmiş olgularda oldukça başarılıdır. Ancak, tüm olgularda yüksek başarı oranı ileri araştırmalara ve teknolojik gelişmelere bağlı olarak beklenebilir.

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Cite This Article

ERKANLI, K., AYDIN, Ü., ŞEN, O., KARAÇALILAR, M., YILDIRIM, A. (2022). Total percutaneous closure in endovascular procedures: our Prostar XL experience. Damar Cerrahi Dergisi, Cilt: 23 - Sayı: 1, 24–28. https://ajindex.com/articles/486738

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