COMPARISON OF EARLY EFFECTIVENESS BETWEEN TOTAL PERCUTANEOUS ENDOVASCULAR ANEURYSM REPAIR AND SURGICAL FEMORAL CUTDOWN ENDOVASCULAR ANEURYSM REPAIR FOR ASYMPTOMATIC ABDOMINAL AORTIC ANEURYSM_Chinese Journal of Reparative and Reconstructive Surgery

Authors：

XIONG Jiang , WEI Ren , GUO Wei , LIU Xiaoping , JIA Xin , MA Xiaohui , ZHANG Hongpeng , ZHANG Minhong , ZHANG Jia.

Department of Vascular Surgery, Vascular Surgery Center of Chinese PLA, General Hospital of Chinese PLA, Beijing, 100853, P.R.China. Corresponding author: GUO Wei, E-mail: pla301dml@vip.sina.com;

Corresponding author：

Keywords：

Total percutaneous endovascular aneurysm repair; Surgical femoral cutdown endovascular aneurysm repair; Asymptomatic abdominal aortic aneurysm

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Objective To investigate the early effectiveness of total percutaneous endovascular aneurysm repair (TPEVAR) in treating asymptomatic abdominal aortic aneurysm (AAAA) by comparing with surgical femoral cutdown endovascular aneurysm repair (SFCEVAR). Methods Between January 2010 and May 2011, 41 cases of AAAA were treated with TPEVAR in 26 cases (TPEVAR group) and with SFCEVAR in 15 cases (SFCEVAR group). The maximum tumor diameter ranged from 3.5 to 9.2 cm (mean, 5.7 cm) in TPEVAR group, and ranged from 3.5 to 10.0 cm (mean, 6.9 cm) in SFCEVAR group. There was no significant difference in gender or age between 2 groups (P gt; 0.05). Results All patients underwent EVAR successfully. The patients were followed up 6-23 months (mean, 13.5 months). No significant difference was found in the outer diameters of the delivery system for main body and iliac leg, operation time, contrast media dosage, hospitalization days, or postoperative hospitalization days between 2 groups (P gt; 0.05). The patients of SFCEVAR group had more bleeding volume and longer ICU stay than patients of TPEVAR group (P lt; 0.05). The incidence of minor complication was 7.7% (2/26) in TPEVAR group and 33.3% (5/15) in SFCEVAR group, showing no significant difference between 2 group (χ2=4.42, P=0.08); the incidence of major complication in SFCEVAR group (20.0%, 3/15) was significantly higher than that in TPEVAR group (0) (χ2=5.61, P=0.02). Conclusion TPEVAR shows safer and more effective than SFCEVAR in treating AAAA.

Citation： XIONG Jiang,WEI Ren,GUO Wei,LIU Xiaoping,JIA Xin,MA Xiaohui,ZHANG Hongpeng,ZHANG Minhong,ZHANG Jia.. COMPARISON OF EARLY EFFECTIVENESS BETWEEN TOTAL PERCUTANEOUS ENDOVASCULAR ANEURYSM REPAIR AND SURGICAL FEMORAL CUTDOWN ENDOVASCULAR ANEURYSM REPAIR FOR ASYMPTOMATIC ABDOMINAL AORTIC ANEURYSM. Chinese Journal of Reparative and Reconstructive Surgery, 2012, 26(11): 1348-1351. doi: Copy

1.	Traul DK, Clair DG, Gray B, et al. Percutaneous endovascular repair of infrarenal abdominal aortic aneurysms: a feasibility study. J Vasc Surg, 2000, 32(4): 770-776.
2.	Oğuzkurt L, Gürel K, Eker E, et al. Ultrasound-guided puncture of the femoral artery for total percutaneous aortic aneurysm repair. Diagn Interv Radiol, 2012, 18(1): 92-95.
3.	Al-Khatib WK, Zayed MA, Harris EJ, et al. Selective use of percutaneous endovascular aneurysm repair in women leads to fewer groin complications. Ann Vasc Surg, 2012, 26(4): 476-482.
4.	Sarmiento JM, Wisniewski PJ, Do NT, et al. The Kaiser permanente experience with ultrasound-guided percutaneous endovascular abdominal aortic aneurysm repair. Ann Vasc Surg, 2012, 26(7): 906-912.
5.	Ryer EJ, Garvin RP, Webb TP, et al. Comparison of outcomes with coils vs vascular plug embolization of the internal iliac artery for endovascular aortoiliac aneurysm repair. J Vasc Surg, 2012. [Epub ahead of print].
6.	Ni ZH, Luo JF, Huang WH, et al. Totally percutaneous thoracic endovascular aortic repair with the preclosing technique: a case-control study. Chin Med J (Engl), 2011, 124(6): 851-855.
7.	Torsello GB, Kasprzak B, Klenk E, et al. Endovascular suture versus cutdown for endovascular aneurysm repair: a prospective randomized pilot study. J Vasc Surg, 2003, 38(1): 78-82.
8.	Börner G, Ivancev K, Sonesson B, et al. Percutaneous AAA repair: is it safe? J Endovasc Ther, 2004, 11(6): 621-626.
9.	Watelet J, Gallot JC, Thomas P, et al. Percutaneous repair of aortic aneurysms: a prospective study of suture-mediated closure devices. Eur J Vasc Endovasc Surg, 2006, 32(3): 261-265.
10.	Lee WA, Brown MP, Nelson PR, et al. Midterm outcomes of femoral arteries after percutaneous endovascular aortic repair using the Preclose technique. J Vasc Surg, 2008, 47(5): 919-923.
11.	Eisenack M, Umscheid T, Tessarek J, et al. Percutaneous endovascular aortic aneurysm repair: a prospective evaluation of safety, efficiency, and risk factors. J Endovasc Ther, 2009, 16(6): 708-713.
12.	Jahnke T, Schäfer JP, Charalambous N, et al. Total percutaneous endovascular aneurysm repair with the dual 6-F Perclose-AT preclosing technique: a case-control study. J Vasc Interv Radiol, 2009, 20(10): 1292-1298.
13.	Etezadi V, Katzen BT, Naiem A, et al. Percutaneous suture-mediated closure versus surgical arteriotomy in endovascular aortic aneurysm repair. J Vasc Interv Radiol, 2011, 22(2): 142-147.
14.	Pol RA, Zeebregts CJ, van Sterkenburg SM, et al. Thirty-day outcome and quality of life after endovascular abdominal aortic aneurysm repair in octogenarians based on the Endurant Stent Graft Natural Selection Global Postmarket Registry (ENGAGE). J Vasc Surg, 2012, 56(1): 27-35.
15.	Lee WA, Brown MP, Nelson PR, et al. Total percutaneous access for endovascular aortic aneurysm repair (“Preclose” technique). J Vasc Surg, 2007, 45(6): 1095-1101.

1. Traul DK, Clair DG, Gray B, et al. Percutaneous endovascular repair of infrarenal abdominal aortic aneurysms: a feasibility study. J Vasc Surg, 2000, 32(4): 770-776.
2. Oğuzkurt L, Gürel K, Eker E, et al. Ultrasound-guided puncture of the femoral artery for total percutaneous aortic aneurysm repair. Diagn Interv Radiol, 2012, 18(1): 92-95.
3. Al-Khatib WK, Zayed MA, Harris EJ, et al. Selective use of percutaneous endovascular aneurysm repair in women leads to fewer groin complications. Ann Vasc Surg, 2012, 26(4): 476-482.
4. Sarmiento JM, Wisniewski PJ, Do NT, et al. The Kaiser permanente experience with ultrasound-guided percutaneous endovascular abdominal aortic aneurysm repair. Ann Vasc Surg, 2012, 26(7): 906-912.
5. Ryer EJ, Garvin RP, Webb TP, et al. Comparison of outcomes with coils vs vascular plug embolization of the internal iliac artery for endovascular aortoiliac aneurysm repair. J Vasc Surg, 2012. [Epub ahead of print].
6. Ni ZH, Luo JF, Huang WH, et al. Totally percutaneous thoracic endovascular aortic repair with the preclosing technique: a case-control study. Chin Med J (Engl), 2011, 124(6): 851-855.
7. Torsello GB, Kasprzak B, Klenk E, et al. Endovascular suture versus cutdown for endovascular aneurysm repair: a prospective randomized pilot study. J Vasc Surg, 2003, 38(1): 78-82.
8. Börner G, Ivancev K, Sonesson B, et al. Percutaneous AAA repair: is it safe? J Endovasc Ther, 2004, 11(6): 621-626.
9. Watelet J, Gallot JC, Thomas P, et al. Percutaneous repair of aortic aneurysms: a prospective study of suture-mediated closure devices. Eur J Vasc Endovasc Surg, 2006, 32(3): 261-265.
10. Lee WA, Brown MP, Nelson PR, et al. Midterm outcomes of femoral arteries after percutaneous endovascular aortic repair using the Preclose technique. J Vasc Surg, 2008, 47(5): 919-923.
11. Eisenack M, Umscheid T, Tessarek J, et al. Percutaneous endovascular aortic aneurysm repair: a prospective evaluation of safety, efficiency, and risk factors. J Endovasc Ther, 2009, 16(6): 708-713.
12. Jahnke T, Schäfer JP, Charalambous N, et al. Total percutaneous endovascular aneurysm repair with the dual 6-F Perclose-AT preclosing technique: a case-control study. J Vasc Interv Radiol, 2009, 20(10): 1292-1298.
13. Etezadi V, Katzen BT, Naiem A, et al. Percutaneous suture-mediated closure versus surgical arteriotomy in endovascular aortic aneurysm repair. J Vasc Interv Radiol, 2011, 22(2): 142-147.
14. Pol RA, Zeebregts CJ, van Sterkenburg SM, et al. Thirty-day outcome and quality of life after endovascular abdominal aortic aneurysm repair in octogenarians based on the Endurant Stent Graft Natural Selection Global Postmarket Registry (ENGAGE). J Vasc Surg, 2012, 56(1): 27-35.
15. Lee WA, Brown MP, Nelson PR, et al. Total percutaneous access for endovascular aortic aneurysm repair (“Preclose” technique). J Vasc Surg, 2007, 45(6): 1095-1101.

Chinese Journal of Reparative and Reconstructive Surgery

COMPARISON OF EARLY EFFECTIVENESS BETWEEN TOTAL PERCUTANEOUS ENDOVASCULAR ANEURYSM REPAIR AND SURGICAL FEMORAL CUTDOWN ENDOVASCULAR ANEURYSM REPAIR FOR ASYMPTOMATIC ABDOMINAL AORTIC ANEURYSM

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