Long-Term Evaluation of Percutaneous Groin Access for EVAR

• DOI: 10.1007/s00270-018-2072-3
• Publication Date: 2018-10-04T17:24:23Z
• Authors: Krit Dwivedi; John Mark Regi; Trevor J. Cleveland; Douglas Turner; Dan Kusuma; Steven M. Thomas; Stephen D. Goode
• Keywords: Pseudoaneurysm; Groin; Endovascular aneurysm repair

Percutaneous endovascular aneurysm repair (PEVAR) has been shown to have high success rates, shorter operating times and length of stay compared open access. However, there exists a lack long-term follow-up data on these patients, questions remain regarding longer-term outcomes. This study aims assess the complications evolution accessed vessels post-PEVAR.Sixty-one cases bilateral PEVAR (122 groins) with > 36 months were analysed. Vessel diameter, calcification, dissection, lymphocele, pseudoaneurysm thrombus formation reviewed at 30th day most recent CT. Notes for groin infections, haematomas nerve injury. Complications considered 'major' if they required intervention or treatment.Mean time from procedure scan was 49.9 months. There no major short- complications. The early complication rate 9.8%, six pseudoaneurysms, four dissections, one thrombus, injury lymphoceles, infections. 0.8%, only pseudoaneurysm. remainder resolved naturally without intervention. Accessed vessel showed significantly (P ≤ 0.05) increased diameter calcification between last scan.This provides largest clinical cohort longest mean reported in literature demonstrates safety PEVAR. very low rate, any our cohort. common femoral arteries do not show stenosis thrombosis. Minor short-term appear gradually resolve Larger multi-centre studies are recommended.