Percutaneous Endovascular Aortic Aneurysm Repair for Abdominal Aortic Aneurysm.
Document Type
Article
Publication Title
Current cardiology reports
Abstract
PURPOSE OF REVIEW: This review discusses the benefits of a completely percutaneous approach to endovascular aortic aneurysm repair (EVAR), and provides an outline as to how this is performed by a multidisciplinary team of cardiologists and cardiovascular surgeons at a quaternary care community hospital.
RECENT FINDINGS: Percutaneous endovascular aortic aneurysm repair (PEVAR) as compared to EVAR utilizing surgical femoral artery exposure is associated with a significant reduction in operation time, length of stay, access site complications, patient discomfort, and procedural cost. Furthermore, PEVAR may be the preferred approach in patients presenting with aneurysm rupture, as the avoidance of general anesthesia has been associated with improved 30-day mortality. Assuming no contraindication based on vascular anatomy, clinical status, or patient preference, these findings suggest that in properly selected patients, PEVAR should be the primary method for abdominal aortic aneurysm repair in both stable and unstable patients.
First Page
79
Last Page
79
DOI
10.1007/s11886-018-1023-6
Publication Date
7-26-2018
Recommended Citation
Huff CM, Silver MJ, Ansel GM. Percutaneous Endovascular Aortic Aneurysm Repair for Abdominal Aortic Aneurysm. Curr Cardiol Rep. 2018 Jul 26;20(9):79. doi: 10.1007/s11886-018-1023-6. PMID: 30046990.