title: Tips and tricks in vascular access for (T)EVAR.
abstract: Endovascular repair has become the treatment of choice for thoracic and abdominal aortic pathologies in the last decades, and is associated with excellent results in terms of perioperative, mid- and long-term morbidity and mortality. Access vessels play a central role in these procedures since access-related issues can increase the rates of technical failures and determine clinical complications for the patient. Therefore, accurate preoperative clinical evaluation and review of the preoperative images are mandatory. In this review, we report on the access-related issues that can be encountered during EVAR and TEVAR, and present solutions and strategies to minimize access-related adverse outcomes.
authors.affiliation: Department of Vascular Medicine, German Aortic Center Hamburg, University Heart Center, Hamburg-Eppendorf University Hospital, Hamburg, Germany.
authors.forename: Beatrice
authors.initials: B
authors.lastname: Fiorucci
authors.affiliation: Department of Vascular Medicine, German Aortic Center Hamburg, University Heart Center, Hamburg-Eppendorf University Hospital, Hamburg, Germany.
authors.forename: Nikolaos
authors.initials: N
authors.lastname: Tsilimparis
authors.affiliation: Department of Vascular Medicine, German Aortic Center Hamburg, University Heart Center, Hamburg-Eppendorf University Hospital, Hamburg, Germany.
authors.forename: Fiona
authors.initials: F
authors.lastname: Rohlffs
authors.affiliation: Department of Vascular Medicine, German Aortic Center Hamburg, University Heart Center, Hamburg-Eppendorf University Hospital, Hamburg, Germany.
authors.forename: Franziska
authors.initials: F
authors.lastname: Heidemann
authors.affiliation: Department of Vascular Medicine, German Aortic Center Hamburg, University Heart Center, Hamburg-Eppendorf University Hospital, Hamburg, Germany.
authors.forename: Sebastian E
authors.initials: SE
authors.lastname: Debus
authors.affiliation: Department of Vascular Medicine, German Aortic Center Hamburg, University Heart Center, Hamburg-Eppendorf University Hospital, Hamburg, Germany - t.koelbel@uke.de.
authors.forename: Tilo
authors.initials: T
authors.lastname: Kölbel
mesh_terms: D001012:Aorta, Abdominal / Q000000981:diagnostic imaging / Q000601:surgery*; D001013:Aorta, Thoracic / Q000000981:diagnostic imaging / Q000601:surgery*; D001018:Aortic Diseases / Q000000981:diagnostic imaging / Q000601:surgery*; D001027:Aortography / Q000379:methods; D001807:Blood Vessel Prosthesis; D019917:Blood Vessel Prosthesis Implantation / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D002406:Catheterization, Peripheral / Q000009:adverse effects / Q000379:methods*; D000072226:Computed Tomography Angiography; D057510:Endovascular Procedures / Q000009:adverse effects / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D011183:Postoperative Complications / Q000209:etiology / Q000517:prevention & control; D011237:Predictive Value of Tests; D011474:Prosthesis Design; D011677:Punctures; D018570:Risk Assessment; D012307:Risk Factors; D015607:Stents; D016896:Treatment Outcome