Percutaneous and surgical femoral access for thoracic endovascular aortic repair using local anesthesia

Serra, Raffaele; Virgilio, Antonio Di; Turchino, Davide; Ielapi, Nicola; Indolfi, Ciro; Mastroroberto, Pasquale; Franciscis, Stefano de

doi:10.23736/s0394-9508.18.04804-0

Cited by 2 publications

(2 citation statements)

References 22 publications

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“…19 Although high quality data regarding the use of local anesthesia versus general anesthesia during the performance of TEVAR are lacking and are typically physician/ hospital dependent, 20 pTEVAR with local anesthesia over the inguinal area has been well documented as a less invasive and effective approach and may provide additional benefits, such as mean blood pressure stability and early recognition of neurologic complications. [21][22][23][24][25][26][27][28] Moreover, pTEVAR with the preclose technique using a vascular closure device under local anesthesia can be safely performed owing to a high technical success rate, short procedure time, low access-related complications, and dramatic cost savings. [21][22][23][24][25][26][27][28] Therefore, pTEVAR is especially applicable to emergency situations such as aortobronchial fistula.…”

Section: Discussionmentioning

confidence: 99%

“…[21][22][23][24][25][26][27][28] Moreover, pTEVAR with the preclose technique using a vascular closure device under local anesthesia can be safely performed owing to a high technical success rate, short procedure time, low access-related complications, and dramatic cost savings. [21][22][23][24][25][26][27][28] Therefore, pTEVAR is especially applicable to emergency situations such as aortobronchial fistula.…”

Section: Discussionmentioning

confidence: 99%

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Massive Hemoptysis Caused by an Aortobronchial Fistula Related to Pedicle Screw Impingement

Lao

2021

Vasc Endovascular Surg

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We report a case of a 50-year-old man with a 10-year history of pedicle screw internal fixation in the thoracic spine and heroin abuse, who presented with sudden-onset massive hemoptysis with hemorrhagic shock and asphyxia. Urgent contrast-enhanced chest computed tomography (CT) characteristically showed thoracic aortic perforation, a paravertebral pseudoaneurysm, and an intrapulmonary hematoma. Emergency percutaneous thoracic endovascular aortic repair (pTEVAR) with the preclose technique using a vascular closure device under local anesthesia achieved success without any complications. The current case highlights the importance of understanding massive hemoptysis caused by an aortobronchial fistula related to pedicle screw impingement in clinical practice and the value of pTEVAR with the preclose technique under local anesthesia in the emergency setting.

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