The Superficial Femoral Artery: An Alternative Access for Percutaneous Endovascular Aneurysm Repair.


BACKGROUND:The aim of this study was to report the results of percutaneous endovascular aortic aneurysm repair (PEVAR) using the superficial femoral artery (SFA) for large bore vessel access. METHODS:We reviewed all PEVAR procedures at our institution over an 18-month period, identifying all patients who underwent PEVAR with the use of one or both SFAs for endograft delivery with dual ProGlide large bore access closure. Indications for use of the SFA instead of the common femoral artery (CFA) included morbid obesity, CFA vessel wall disease, and scarring from previous CFA surgery. RESULTS:In total, 158 percutaneous access closures were performed in 79 patients. Ten patients had one or both SFAs used. We accessed a total of 13 SFAs: 6 for the endograft main body (size range 18- to 20-French) and 7 for the limb (14- to 16-French). The freedom from open conversion was 84.6%. In comparison, of 145 CFA accesses (in 76 patients) there were 9 conversions (93.7% success). Of the 13 SFAs accessed, there were no major access site complications (pseudoaneurysm, access site bleed, limb ischemia, or need to return to the operating room). All SFAs accessed remained patent at the latest follow-up (range 1-13 months, median 8 months). CONCLUSIONS:Our preliminary case series suggests that, in the absence of a healthy or percutaneously accessible CFA, a healthy SFA may be considered for PEVAR access. While likely carrying a higher risk of open conversion, this technique, when combined with intraoperative duplex ultrasound (both before and after the procedure) and with meticulous ultrasound-guided vascular access, appears safe for up to 20-French device diameters.


Ann Vasc Surg


Aaron A,El-Hag S,de Grandis E,Santilli S,Rosenberg M,Shafii SM,Golzarian J,Faizer R




Has Abstract


2017-01-01 00:00:00












  • Axillofemoral bypass for kidney transplant protection during open repair of abdominal aortic aneurysm.

    abstract::The need to treat an abdominal aortic aneurysm (AAA) in kidney transplanted patient is a rare event. To date, no method to protect the kidney during the aneurysm treatment has been identified as undeniably relevant. On the other hand, the advantage of endovascular treatment of the aneurysm (EVAR) is to avoid transplan...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Monnot A,Rouer M,Horion J,Plissonnier D

    更新日期:2015-08-01 00:00:00

  • Biomolecular mechanisms in varicose veins development.

    abstract::Varicose veins (VVs) can be described as tortuous and dilated palpable veins, which are more than 3 mm in diameter. They are one of the clinical presentations of chronic venous disorders, which are a significant cause of morbidity. The prevalence of VVs has been estimated at 25-33% in women and 10-20% in men and is st...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章,评审


    authors: Segiet OA,Brzozowa-Zasada M,Piecuch A,Dudek D,Reichman-Warmusz E,Wojnicz R

    更新日期:2015-02-01 00:00:00

  • Effect of superficial venous surgery on venous function in chronic venous insufficiency.

    abstract::Patients with chronic venous insufficiency often have combined superficial and deep venous incompetence. The aims of this study were to determine the effects of superficial venous surgery (SVS) on deep venous haemodynamics and on ambulatory venous pressure (AVP) and to determine if the AVP tourniquet test can predict ...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章,随机对照试验


    authors: Dix FP,Picton A,McCollum CN

    更新日期:2005-09-01 00:00:00

  • Neural damage biomarkers during open carotid surgery versus endovascular approach.

    abstract:BACKGROUND:Carotid endarterectomy (CEA) is the gold standard for treating severe carotid artery stenosis, whereas carotid artery stenting (CAS) represents an endovascular alternative. The objective of this study was to assess the potential neural damage following open or endovascular carotid surgery measured by periphe...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Giuliani E,Genedani S,Moratto R,Veronesi J,Carone C,Bonvecchio C,Mosca F,Coppi G,Barbieri A

    更新日期:2014-10-01 00:00:00

  • Bridging Stents in Fenestrated and Branched Endovascular Aneurysm Repair: A Systematic REVIEW.

    abstract:BACKGROUND:Concern exists about durability of stent grafts used to bridge aortic grafts to visceral and renal arteries during fenestrated and branched endovascular aneurysm repair (F/B-EVAR). There are no guidelines regarding the ideal technique for joining target vessels (TVs). METHODS:We systematically reviewed data...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章,评审


    authors: Mezzetto L,Scorsone L,Silingardi R,Gennai S,Piffaretti G,Mantovani A,Bush RL,Haulon S,Veraldi GF

    更新日期:2021-01-05 00:00:00

  • Comparison of Perioperative Outcomes of Patients with Iliac Aneurysms Treated by Open Surgery or Endovascular Repair with Iliac Branch Endoprosthesis.

    abstract:BACKGROUND:Treatment of common and internal iliac aneurysms is usually done by open surgery. A novel iliac branch endoprosthesis (IBE) is commercially available with encouraging initial results. Our objective is to compare perioperative outcomes of patients with iliac aneurysms treated by open surgery (OS) versus endov...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Mendes BC,Oderich GS,Sandri GA,Johnstone JK,Shuja F,Kalra M,Bower TC,DeMartino RR

    更新日期:2019-10-01 00:00:00

  • Vertical ramus osteotomy allows exposure of the distal internal carotid artery to the base of the skull.

    abstract::Exposure of the distal internal carotid artery (ICA) above the level of the second cervical vertebra can be difficult and often require maneuvers such as division of the digastric muscle or mandibular subluxation. These techniques increase exposure but may not provide adequate access. We report a series of eight cases...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Kumins NH,Tober JC,Larsen PE,Smead WL

    更新日期:2001-01-01 00:00:00

  • Retroperitoneal approach to abdominal aortic aneurysm repair preserves splanchnic perfusion as measured by gastric tonometry.

    abstract:BACKGROUND:We investigated if minimizing bowel manipulation and mesenteric traction using the retroperitoneal approach in open abdominal aortic aneurysm (AAA) repair preserves splanchnic perfusion, as measured by gastric tonometry, and reduces the systemic inflammatory response and dysfunction of the various organs. M...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章,随机对照试验


    authors: Arya N,Sharif MA,Lau LL,Lee B,Hannon RJ,Young IS,Soong CV

    更新日期:2010-04-01 00:00:00

  • Success of endovenous saphenous and perforator ablation in patients with symptomatic venous insufficiency receiving long-term warfarin therapy.

    abstract:BACKGROUND:Endovenous ablation of great (GSV) and short saphenous vein (SSV) reflux has become the initial procedure for most patients with symptomatic venous insufficiency, and perforator ablation is increasingly used to assist in healing venous ulceration. Many patients have comorbid conditions, which require long-te...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Gabriel V,Jimenez JC,Alktaifi A,Lawrence PF,O'Connell J,Derubertis BG,Rigberg DA,Gelabert HA

    更新日期:2012-07-01 00:00:00

  • Delayed axillary artery pseudoaneurysm as an isolated consequence to anterior dislocation of the shoulder.

    abstract::Injury to the axillary artery after anterior shoulder dislocation is a very rare occurrence; although infrequently seen as an iatrogenic complication, very few cases have been reported. We describe a case of delayed axillary artery pseudoaneurysm, presenting as single complication after anterior shoulder dislocation r...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Palcau L,Gouicem D,Dufranc J,Mackowiak E,Berger L

    更新日期:2012-02-01 00:00:00

  • Outcomes of Critical Limb Ischemia in an Urban, Safety Net Hospital Population with High WIfI Amputation Scores.

    abstract:BACKGROUND:Patients presenting to a public hospital with critical limb ischemia (CLI) typically have advanced disease with significant comorbidities. The purpose of this study was to assess the influence of revascularization on 1-year amputation rate of CLI patients presenting to Los Angeles County USC Medical Center, ...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Ward R,Dunn J,Clavijo L,Shavelle D,Rowe V,Woo K

    更新日期:2017-01-01 00:00:00

  • Magnetic resonance detected carotid plaque hemorrhage is associated with inflammatory features in symptomatic carotid plaques.

    abstract:BACKGROUND:Both magnetic resonance detected carotid plaque hemorrhage (MRI PH(+)) and features of inflammation are associated with increased risk of cerebrovascular events in patients with carotid stenosis. To further assess the potential of MRI PH as a biomarker for complicated carotid plaque, its relationship with in...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Altaf N,Akwei S,Auer DP,MacSweeney ST,Lowe J

    更新日期:2013-07-01 00:00:00

  • Endovascular Treatment of an Internal Iliac Artery Aneurysm in a Patient with Previous Aortic Surgery Using a Novel Covered Stent Graft.

    abstract:BACKGROUND:We report endovascular treatment of a patient with an isolated Internal Iliac Artery (IIA) aneurysm who was treated by positioning a novel covered stent that could adapt to different proximal and distal diameters. CASE REPORT:A 68-year-old man who had already had several previous aortic surgeries underwent ...

    journal_title:Annals of vascular surgery



    authors: Spinella G,Mambrini S,Finotello A,Conti M,Del Pizzo R,Pratesi G,Palombo D,Pane B

    更新日期:2020-04-01 00:00:00

  • Prognostic factors of ischemic colitis after infrarenal aortic surgery.

    abstract:BACKGROUND:Postoperative ischemic colitis (POIC) remains a frequent and extremely severe complication of infrarenal abdominal aorta surgery. However, its diagnosis and treatment are not always consensual because the incidence is very small. The aim of this retrospective study was to evaluate the prognostic factors of s...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Darras S,Paineau J,Patra P,Goueffic Y

    更新日期:2011-07-01 00:00:00

  • A novel approach to the management of an inflammatory abdominal aortic aneurysm associated with crossed-fused renal ectopia.

    abstract:BACKGROUND:Crossed-fused renal ectopia is a rare anomaly that poses a therapeutic challenge in the management of abdominal aortic aneurysms (AAAs). Such challenges include preservation of renal blood flow in the setting of multiple aberrant renal arteries and ureteral anomalies. Several surgical approaches to this dile...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Tadros RO,Malik RK,Ellozy SH,Marin ML,Faries PL,Vouyouka AG

    更新日期:2011-10-01 00:00:00

  • Defecation syncope secondary to functional inferior vena caval obstruction during a Valsalva maneuver.

    abstract::This report describes a case of defecation syncope secondary to functional inferior vena cava (IVC) obstruction. Preoperative hemodynamic assessment revealed a marked decrease in blood pressure and IVC obstruction when the patient performed a Valsalva maneuver. The intraoperative approach included continuous hemodynam...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Brophy CM,Evans L,Sumpio BE

    更新日期:1993-07-01 00:00:00

  • Carotid duplex with contralateral disease: the influence of vertebral artery blood flow.

    abstract::The hemodynamic effect of severe contralateral internal carotid (ICA) disease may result in overestimation of ipsilateral stenosis by duplex ultrasound (DU). This study examines the role of the vertebral artery system (VAS) on duplex results in patients with severe carotid disease. A retrospective study of 110 patient...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Welch HJ,Murphy MC,Raftery KB,Jewell ER

    更新日期:2000-01-01 00:00:00

  • Seat belt aorta.

    abstract::This review of 11 cases of seat-belt associated blunt abdominal aortic trauma, includes nine cases reported in the literature and two new cases. Lap-type seat belts were the cause of this injury in eight of the 11 patients (73%). Clinical presentation was acute in 73% of the cases, with symptoms of acute arterial insu...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章,评审


    authors: Randhawa MP Jr,Menzoian JO

    更新日期:1990-07-01 00:00:00

  • Detection of abdominal aortic graft infection: comparison of magnetic resonance imaging and indium-labeled white blood cell scanning.

    abstract::Infected abdominal aortic grafts rank as one of the most severe complications of vascular surgery, with high mortality and morbidity. The incidence of infection after prosthetic aortic reconstruction is 1-3%. Diagnosis of vascular graft infection can be occasionally difficult. Clinical manifestations and assessment of...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Shahidi S,Eskil A,Lundof E,Klaerke A,Jensen BS

    更新日期:2007-09-01 00:00:00

  • Prophylactic distal revascularization and interval ligation procedure during femoral vein transposition fistula creation in patients at high risk for ischemic complications.

    abstract::Femoral vein transposition arteriovenous fistula (FVt AVF) is a viable autologous option when upper extremity dialysis access sites have become compromised. High volume flow through the AVF can lead to ischemic complications, including steal syndrome (SS), and may threaten access and limb viability. Risk factors for S...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Zamani N,Anaya-Ayala JE,Ismail N,Davies MG,Peden EK

    更新日期:2013-04-01 00:00:00

  • Abdominal Aortic Aneurysm-Associated MicroRNA-516a-5p Regulates Expressions of Methylenetetrahydrofolate Reductase, Matrix Metalloproteinase-2, and Tissue Inhibitor of Matrix Metalloproteinase-1 in Human Abdominal Aortic Vascular Smooth Muscle Cells.

    abstract:BACKGROUND:MicroRNAs (miRNAs or miRs) have been highlighted to be involved in abdominal aortic aneurysm (AAA) with the emergence of recent miRNA microarray profiling studies. miR-516a-5p has been shown to be significantly overexpressed in vascular smooth muscle cells (VSMCs) from human AAA tissues from our previous mic...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Chan CYT,Cheuk BLY,Cheng SWK

    更新日期:2017-07-01 00:00:00

  • Operative intervention for recurrent stenosis after carotid stent angioplasty: a report.

    abstract::Carotid artery angioplasty and stenting is gaining popularity, yet the natural history and optimal treatment for recurrent stenoses within stents are not known. Recurrent stenosis rates are not well characterized, with rates between 0 and 33% reported within the first year. Treatment of these lesions with repeat angio...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Brown KR,Desai TR,Schwartz LB,Gewertz BL

    更新日期:2002-09-01 00:00:00

  • Vascular injuries during anterior exposure of the thoracolumbar spine.

    abstract:BACKGROUND:The aim of this study was to evaluate the vascular injuries, repairs, and complications encountered during anterior thoracolumbar spine exposures. METHODS:The medical records of patients undergoing anterior spine exposures from January 2004 to June 2010 were retrospectively analyzed. RESULTS:A total of 269...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Zahradnik V,Lubelski D,Abdullah KG,Kelso R,Mroz T,Kashyap VS

    更新日期:2013-04-01 00:00:00

  • Brachial-jugular expanded PTFE grafts for dialysis.

    abstract::The objective of this study was to analyze the long-term outcome of 51 patients with brachial-jugular grafts for dialysis. Age, presence of diabetic nephropathy, complications of the angio-access, and therapeutic methods of treating complications were analyzed. All surgical procedures were performed under local anesth...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Vega D,Polo JR,Polo J,López Baena JA,Pacheco D,García-Pajares R

    更新日期:2001-09-01 00:00:00

  • The Advantages of Using Intraoperative Indocyanine Green Fluorescence Angiography for Upper Extremity Arteriovenous Malformation: A Case Report.

    abstract::Vascular anomaly is a general term that includes all vascular malformations, vascular tumors, and other congenital vascular defects. Vascular malformation is the most common term, and it describes blood vessels that are abnormally formed at birth. Vascular malformations can develop in any part of the body. The most co...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Akbayrak H,Çiçek ÖF,Orhan A,Büyükateş M

    更新日期:2019-08-01 00:00:00

  • High coincidence of inguinal hernias and abdominal aortic aneurysms.

    abstract::Weakness in the musculotendinous barrier of the abdominal wall leads to inguinal herniation. Fiber degeneration by increased metabolism has been described recently as a causative factor. In previous investigations heightened elastase was detected in abdominal aneurysms. In order to investigate a possible relationship ...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Lehnert B,Wadouh F

    更新日期:1992-03-01 00:00:00

  • Outcomes with plantar bypass for limb-threatening ischemia.

    abstract::Patients with severely diseased or occluded infrageniculate arteries, limited runoff, and tissue loss may often present for primary amputation. In this study, we review our experience with plantar artery revascularization when no other bypass options are feasible. All patients requiring infrainguinal bypass to the pla...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Roddy SP,Darling RC 3rd,Chang BB,Kreienberg PB,Paty PS,Lloyd WE,Shah DM

    更新日期:2001-01-01 00:00:00

  • Intraarterial injection of indocyanine green for evaluation of peripheral blood circulation in patients with peripheral arterial disease.

    abstract:BACKGROUND:To assess the peripheral blood flow of patients with peripheral arterial disease (PAD) by indocyanine green (ICG) arteriography (ICGA) with intraarterial injection of ICG and evaluate the efficacy of the ICGA tests. METHODS:This study was undertaken from a retrospective review of patients with PAD who under...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Igari K,Kudo T,Uchiyama H,Toyofuku T,Inoue Y

    更新日期:2014-07-01 00:00:00

  • Complex Aortic, Visceral and Renal Arteries Reconstruction with a Four-Branch Dacron Graft for Middle Aortic Syndrome Secondary to Takayasu's Arteritis.

    abstract::The middle aortic syndrome (MAS) is an uncommon clinical expression as a result of isolated stenosis or complete occlusion of the descending thoracic and/or abdominal aorta; Takayasu's arteritis (TA) is a rare vasculitis and a recognized etiology of MAS. We herein present the case of a 52-year-old woman with refractor...

    journal_title:Annals of vascular surgery



    authors: Lopez-Pena G,Anaya-Ayala JE,Garcia-Alva R,Arzola LH,Luna L,Hinojosa CA

    更新日期:2020-11-01 00:00:00

  • Spontaneous dissection of the carotid and vertebral arteries: the 10-year UCSD experience.

    abstract::The etiology of spontaneous dissection of the carotid and vertebral arteries without antecedent trauma remains unclear. The goal of this 10-year review was to examine factors regarding presentation, diagnosis, treatment, and outcome for all patients at our institution who were diagnosed with spontaneous carotid dissec...

    journal_title:Annals of vascular surgery

    pub_type: 杂志文章


    authors: Chandra A,Suliman A,Angle N

    更新日期:2007-03-01 00:00:00