Diameter change of common femoral arteries after percutaneous endovascular aortic repair with the use of the preclose technique

Abstract

This study demonstrates that PEVAR with the use of the preclose technique does not influence the ID of the accessed CFA, whereas the OD changes gradually over 1 year. These results may indicate that future endovascular interventions can be performed with the use of the same access without the risk of vascular narrowing.

Successful Use of the MYNXGRIP Closure Device during Repeated Transbrachial Percutaneous Peripheral Intervention

“…Puncturing the BA is somewhat different in comparison to the common femoral artery (CFA). First, the diameter of the adult BA ranges from 3 to 6 mm, whereas the CFA usually provides a larger diameter [ 7 , 8 ]. Second, the BA is more susceptible for vascular spasm [ 1 ].…”

Cutting down on the cutdown: Time to remove the training wheels for transfemoral access for TAVR

“…The transition to 3rd generation TAVR technology means that the sheath sizes used in these studies are no longer applicable for TAVR in much of the world (in particular outside the US); moreover, it is inconceivable that the disproportionate discomfort and likely prolongation of length of stay will make routine surgical cutdown any more viable in 2016 than routine surgical cutdown would be for PCI or cardiac cath (where the debate now is why we would use femoral access at all). An important residual question, the effect on the femoral artery of preclosure with large sheaths, appears to be addressed by a study that shows that preclosure for sheath sizes up to 24 Fr does not appear to have a long‐term deleterious effect on the common femoral artery . It is important to point out that not all percutaneous access and closure is the same: there are many technique subtleties, and to achieve optimal results operators need to incorporate meticulously a number of increasingly sophisticated and clever access and closure methods (a subject for a separate editorial, but can include simplified methods for targeted micropuncture, crossover access, and proximal iliac artery balloon occlusion during sheath withdrawal).…”