Ultrasound-guided fascia closure as bailout technique for large-bore percutaneous femoral access failure: Report of two cases.
J Vasc Access
; 21(5): 769-772, 2020 Sep.
Article
em En
| MEDLINE
| ID: mdl-32089061
ABSTRACT
Percutaneous endovascular abdominal aortic aneurysm repair is nowadays considered a safe and effective procedure and has gained widespread globally acceptance. However, intraoperative persistent bleeding due to percutaneous access closure device failure can occur. Open conversion is first-line treatment to manage this complication. The fascia suture technique was introduced as an alternative to access closure device or as a solution to manage unsatisfactory hemostasis during percutaneous endovascular abdominal aortic aneurysm repair. In this article, we report a new simple minimally invasive ultrasound-guided fascia suture technique as a bailout method to manage persistent bleeding after percutaneous endovascular abdominal aortic aneurysm repair avoiding open conversion. This technique was successfully used in two cases at our center with satisfactory hemostasis and no further complications. Ultrasound-guided fascia suture technique can be proposed as a minimally invasive bailout technique for access closure device failure.
Palavras-chave
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Cateterismo Periférico
/
Técnicas Hemostáticas
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Técnicas de Sutura
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Aneurisma da Aorta Abdominal
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Ultrassonografia de Intervenção
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Fáscia
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Artéria Femoral
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Procedimentos Endovasculares
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Dispositivos de Acesso Vascular
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Hemorragia
Tipo de estudo:
Etiology_studies
Limite:
Humans
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article