Percutaneous Endovascular Aortic Repair with Local Anesthesia – One Day Surgery
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , |
Tipo de documento: | Artigo |
Idioma: | por eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7715 |
Resumo: | Introduction: To evaluate the results of the abdominal aortic aneurism endovascular treatment (EVAR), percutaneously and with local anesthesia, according to the concept of one day surgery.Material and Methods: Unicentric, retrospective analysis of patients with aorto-iliac aneurysmal disease, consecutively treated by EVAR with percutaneous access trough the Preclose technique (pEVAR), according to the outpatient criteria, with one overnight stay in the hospital. The technical success, exclusion of the aneurysmal sac, endoleak, re-intervention and mortality were evaluated.Results: Twenty consecutive patients (all male; mean age 74.65 years) were treated by EVAR with percutaneous access and local anesthesia, from which 95% (19) presented with abdominal aortic aneurysm and 5% (1) common iliac aneurysm. All implants were sucessfully performed, with an initial endoleak rate of 10% (2), determined by one type 1a endoleak successfully corrected intra-operatively and one type 2a endoleak diagnosed in the first imaging control, which sealed spontaneously on the second control. Initial technical success for percutaneous closure was 97.5%, with one case reported of femoral pseudo-aneurism, posteriorly treated by percutaneous thrombin injection. Median length of stay was one day [1-10], with a mean follow-up of 11.4 months [1-36]. Both the re-intervention and mortality rate are 0% for the selected period.Conclusion: Our one day surgery model for the outpatient treatment of abdominal aortic aneurysm by the pEVAR technique is innovative, safe and effective, as long as the selection criteria are respected. |
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Percutaneous Endovascular Aortic Repair with Local Anesthesia – One Day SurgeryTratamento Endovascular do Aneurisma da Aorta Abdominal por Via Percutânea e Anestesia Local – One Day SurgeryAmbulatory Surgical ProceduresAortic AneurysmAbdominalBlood Vessel Prosthesis ImplantationEndovascular Procedures.Aneurisma da Aorta AbdominalImplante de Prótese VascularProcedimentos Cirúrgicos AmbulatóriosProcedimentos Endovasculares.Introduction: To evaluate the results of the abdominal aortic aneurism endovascular treatment (EVAR), percutaneously and with local anesthesia, according to the concept of one day surgery.Material and Methods: Unicentric, retrospective analysis of patients with aorto-iliac aneurysmal disease, consecutively treated by EVAR with percutaneous access trough the Preclose technique (pEVAR), according to the outpatient criteria, with one overnight stay in the hospital. The technical success, exclusion of the aneurysmal sac, endoleak, re-intervention and mortality were evaluated.Results: Twenty consecutive patients (all male; mean age 74.65 years) were treated by EVAR with percutaneous access and local anesthesia, from which 95% (19) presented with abdominal aortic aneurysm and 5% (1) common iliac aneurysm. All implants were sucessfully performed, with an initial endoleak rate of 10% (2), determined by one type 1a endoleak successfully corrected intra-operatively and one type 2a endoleak diagnosed in the first imaging control, which sealed spontaneously on the second control. Initial technical success for percutaneous closure was 97.5%, with one case reported of femoral pseudo-aneurism, posteriorly treated by percutaneous thrombin injection. Median length of stay was one day [1-10], with a mean follow-up of 11.4 months [1-36]. Both the re-intervention and mortality rate are 0% for the selected period.Conclusion: Our one day surgery model for the outpatient treatment of abdominal aortic aneurysm by the pEVAR technique is innovative, safe and effective, as long as the selection criteria are respected.Introdução: Avaliar os resultados do tratamento endovascular do aneurisma da aorta abdominal (EVAR) por via percutânea e anestesia local, segundo o conceito de one day surgery.Material e Métodos: Análise retrospetiva, unicêntrica dos doentes com doença aneurismática aorto-ilíaca, consecutivamente submetidos a tratamento endovascular do aneurisma da aorta abdominal por via percutânea (pEVAR) pela técnica de Preclose, seguindo critérios de ambulatorização com pernoita após o procedimento. O sucesso técnico, exclusão do saco aneurismático, endoleak, reintervenção e tempo de internamento foram avaliados.Resultados: Vinte doentes consecutivos (todos homens, idade média 74,65 anos) foram tratados por pEVAR e anestesia local, dos quais 95% (19) apresentavam aneurisma da aorta abdominal e 5% (1) aneurisma da artéria ilíaca comum. Todos os implantes foram realizados com sucesso, com uma taxa de endoleak inicial de 10% (2), à custa de um endoleak 1a corrigido intraoperatoriamente com sucesso, e um endoleak 2a diagnosticado na primeira angio-tomografia computorizada pós-operatória, que selou espontaneamente no controlo aos 6 meses. O sucesso técnico inicial do encerramento percutâneo foi de 97,5%, com um caso reportado de pseudo-aneurisma femoral, corrigido posteriormente por injeção percutânea de trombina. A mediana de internamento foi de 1 dia [1-10], com follow-up médio de 11,4 meses [1-36]. A reintervenção e mortalidade são de 0% no período descrito. Conclusão: O tratamento ambulatório do aneurisma da aorta abdominal por via endovascular com acesso percutâneo segundo o nosso modelo de one day surgery é inovador, seguro e eficaz, respeitando os critérios de seleção.Ordem dos Médicos2016-06-30info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfapplication/mswordapplication/pdfapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7715oai:ojs.www.actamedicaportuguesa.com:article/7715Acta Médica Portuguesa; Vol. 29 No. 6 (2016): June; 381-388Acta Médica Portuguesa; Vol. 29 N.º 6 (2016): Junho; 381-3881646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPporenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7715https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7715/4662https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7715/4913https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7715/8412https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7715/8432https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7715/8444Direitos de Autor (c) 2016 Acta Médica Portuguesa - Ordem dos Médicosinfo:eu-repo/semantics/openAccessSousa, JoelBrandão, DanielBarreto, PauloFerreira, JoanaLopes, José AlmeidaMansilha, Armando2022-12-20T11:05:18Zoai:ojs.www.actamedicaportuguesa.com:article/7715Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:29.568206Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Percutaneous Endovascular Aortic Repair with Local Anesthesia – One Day Surgery Tratamento Endovascular do Aneurisma da Aorta Abdominal por Via Percutânea e Anestesia Local – One Day Surgery |
title |
Percutaneous Endovascular Aortic Repair with Local Anesthesia – One Day Surgery |
spellingShingle |
Percutaneous Endovascular Aortic Repair with Local Anesthesia – One Day Surgery Sousa, Joel Ambulatory Surgical Procedures Aortic Aneurysm Abdominal Blood Vessel Prosthesis Implantation Endovascular Procedures. Aneurisma da Aorta Abdominal Implante de Prótese Vascular Procedimentos Cirúrgicos Ambulatórios Procedimentos Endovasculares. |
title_short |
Percutaneous Endovascular Aortic Repair with Local Anesthesia – One Day Surgery |
title_full |
Percutaneous Endovascular Aortic Repair with Local Anesthesia – One Day Surgery |
title_fullStr |
Percutaneous Endovascular Aortic Repair with Local Anesthesia – One Day Surgery |
title_full_unstemmed |
Percutaneous Endovascular Aortic Repair with Local Anesthesia – One Day Surgery |
title_sort |
Percutaneous Endovascular Aortic Repair with Local Anesthesia – One Day Surgery |
author |
Sousa, Joel |
author_facet |
Sousa, Joel Brandão, Daniel Barreto, Paulo Ferreira, Joana Lopes, José Almeida Mansilha, Armando |
author_role |
author |
author2 |
Brandão, Daniel Barreto, Paulo Ferreira, Joana Lopes, José Almeida Mansilha, Armando |
author2_role |
author author author author author |
dc.contributor.author.fl_str_mv |
Sousa, Joel Brandão, Daniel Barreto, Paulo Ferreira, Joana Lopes, José Almeida Mansilha, Armando |
dc.subject.por.fl_str_mv |
Ambulatory Surgical Procedures Aortic Aneurysm Abdominal Blood Vessel Prosthesis Implantation Endovascular Procedures. Aneurisma da Aorta Abdominal Implante de Prótese Vascular Procedimentos Cirúrgicos Ambulatórios Procedimentos Endovasculares. |
topic |
Ambulatory Surgical Procedures Aortic Aneurysm Abdominal Blood Vessel Prosthesis Implantation Endovascular Procedures. Aneurisma da Aorta Abdominal Implante de Prótese Vascular Procedimentos Cirúrgicos Ambulatórios Procedimentos Endovasculares. |
description |
Introduction: To evaluate the results of the abdominal aortic aneurism endovascular treatment (EVAR), percutaneously and with local anesthesia, according to the concept of one day surgery.Material and Methods: Unicentric, retrospective analysis of patients with aorto-iliac aneurysmal disease, consecutively treated by EVAR with percutaneous access trough the Preclose technique (pEVAR), according to the outpatient criteria, with one overnight stay in the hospital. The technical success, exclusion of the aneurysmal sac, endoleak, re-intervention and mortality were evaluated.Results: Twenty consecutive patients (all male; mean age 74.65 years) were treated by EVAR with percutaneous access and local anesthesia, from which 95% (19) presented with abdominal aortic aneurysm and 5% (1) common iliac aneurysm. All implants were sucessfully performed, with an initial endoleak rate of 10% (2), determined by one type 1a endoleak successfully corrected intra-operatively and one type 2a endoleak diagnosed in the first imaging control, which sealed spontaneously on the second control. Initial technical success for percutaneous closure was 97.5%, with one case reported of femoral pseudo-aneurism, posteriorly treated by percutaneous thrombin injection. Median length of stay was one day [1-10], with a mean follow-up of 11.4 months [1-36]. Both the re-intervention and mortality rate are 0% for the selected period.Conclusion: Our one day surgery model for the outpatient treatment of abdominal aortic aneurysm by the pEVAR technique is innovative, safe and effective, as long as the selection criteria are respected. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016-06-30 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7715 oai:ojs.www.actamedicaportuguesa.com:article/7715 |
url |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7715 |
identifier_str_mv |
oai:ojs.www.actamedicaportuguesa.com:article/7715 |
dc.language.iso.fl_str_mv |
por eng |
language |
por eng |
dc.relation.none.fl_str_mv |
https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7715 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7715/4662 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7715/4913 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7715/8412 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7715/8432 https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/7715/8444 |
dc.rights.driver.fl_str_mv |
Direitos de Autor (c) 2016 Acta Médica Portuguesa - Ordem dos Médicos info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Direitos de Autor (c) 2016 Acta Médica Portuguesa - Ordem dos Médicos |
eu_rights_str_mv |
openAccess |
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application/pdf application/pdf application/msword application/pdf application/pdf |
dc.publisher.none.fl_str_mv |
Ordem dos Médicos |
publisher.none.fl_str_mv |
Ordem dos Médicos |
dc.source.none.fl_str_mv |
Acta Médica Portuguesa; Vol. 29 No. 6 (2016): June; 381-388 Acta Médica Portuguesa; Vol. 29 N.º 6 (2016): Junho; 381-388 1646-0758 0870-399X reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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