title: A novel technique using the percutaneous vascular surgery device to close the 22 French femoral artery entry site used for percutaneous abdominal aortic aneurysm exclusion.
abstract: Endovascular techniques are now available for treatment of infrarenal abdominal aortic aneurysms (AAA) using various stent-graft systems. The delivery system of these device's call for large, 16 and 22 Fr sheaths, requiring open surgical femoral artery exposure to introduce and remove. We describe a novel technique that can be used to access and close percutaneously these large bore entry sites. We deployed an AneuRx stent-graft into a 68-year-old man for the treatment of an infrarenal AAA. After deployment of the AneuRx stent-graft was completed, the left femoral artery was successfully percutaneously sutured with a 10 Fr and an 8 Fr percutaneous vascular surgery (PVS) device. The right femoral artery was percutaneously sutured with a 10 Fr PVS device. This case describes the technique and demonstrates that the PVS devices can be used to percutaneously close femoral artery entry sites as big as 22F.
authors.affiliation: Department of Cardiology, Texas Heart Institute/St. Luke's Episcopal Hospital, Houston, USA. leachman@ix.netcom.com
authors.forename: Z
authors.initials: Z
authors.lastname: Krajcer
authors.forename: M
authors.initials: M
authors.lastname: Howell
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D019917:Blood Vessel Prosthesis Implantation; D002406:Catheterization, Peripheral / Q000295:instrumentation / Q000379:methods*; D005263:Femoral Artery; D006801:Humans; D008297:Male; D011677:Punctures; D015607:Stents; D014656:Vascular Surgical Procedures