Percutaneous Endovascular Aortic Aneurysm Repair: A Prospective Evaluation of Safety, Efficiency, and Risk Factors
Purpose: To evaluate the efficiency of totally percutaneous endovascular aortic aneurysm repair in a large cohort of patients and to define risk factors for failure with a 10-F vascular closure system. Methods: A prospective study examined the feasibility and safety of percutaneous femoral artery cl...
Gespeichert in:
| Veröffentlicht in: | Journal of endovascular therapy 2009-12, Vol.16 (6), p.708-713 |
|---|---|
| Hauptverfasser: | , , , , |
| Format: | Artikel |
| Sprache: | eng |
| Schlagworte: | |
| Online-Zugang: | Volltext |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| container_end_page | 713 |
|---|---|
| container_issue | 6 |
| container_start_page | 708 |
| container_title | Journal of endovascular therapy |
| container_volume | 16 |
| creator | Eisenack, Markus Umscheid, Thomas Tessarek, Joerg Torsello, Giovanni F. Torsello, Giovanni B. |
| description | Purpose:
To evaluate the efficiency of totally percutaneous endovascular aortic aneurysm repair in a large cohort of patients and to define risk factors for failure with a 10-F vascular closure system.
Methods:
A prospective study examined the feasibility and safety of percutaneous femoral artery closure with a single Prostar XL 10-F vascular closure device applied in conjunction with the preclose technique. Between January 2004 and December 2005, 535 consecutive patients were treated for aortic aneurysmal disease. Thirty-five patients were excluded, leaving 500 patients (417 men; mean age 72±6.6 years) treated for aortic aneurysms using the Talent or Zenith stent-graft delivered through sheaths measuring 14-F (191, 21.2%), 16-F (33, 3.7%), 18-F (179, 19.8%), 20-F (2, 0.2%), 22-F (228, 25.2%), and 24-F (271, 29.9%). Primary clinical success was defined as the freedom from additional early or late procedures to treat any complication at the access site. Data were analyzed to reveal any correlation of access site complications or early/late repairs to operator experience or risk factors (obesity, extensive femoral artery calcification, and previous interventions/scars in the groin).
Results:
Primary success was achieved in 96.1% of all percutaneous approaches. Twenty-three patients developed early (n=16) or late (n=7) complications at the access vessel; in 12 cases, hemostasis was achieved using pledgets with the Prostar sutures. No wound complications were recorded. The need for early conversion to an open access correlated with CFA calcification (OR 74.5, 95% CI 17.8 to 310.7; p |
| doi_str_mv | 10.1583/08-2622.1 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_734176249</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sage_id>10.1583_08-2622.1</sage_id><sourcerecordid>1929149971</sourcerecordid><originalsourceid>FETCH-LOGICAL-c342t-70edcc28d379015d2b5029562f14a6f17f421398b287877d77bc68074846e8e03</originalsourceid><addsrcrecordid>eNplkc1rGzEQxUVpaNKkh_4DRfSQUugm0uzqY3MzwWkDgYR8nIWsHRUl65Uj7Rr831fGhkB6mnf48WbmPUK-cnbGha7Pma5AApzxD-SIi0ZUXAj2catBVpKBPiSfc35mDDhw_okc8rZtBWftEUl3mNw02gHjlOl86OLaZjf1NtFZTGNwdDbglDZ5Se9xZUO6oDN6l2JeoRvDGul8bfvJjiEONHr6YD2Om1907n1wAQdXtB06eh_yC72ybowpn5ADb_uMX_bzmDxdzR8v_1Q3t7-vL2c3lasbGCvFsHMOdFerlnHRwUIwaIUEzxsrPVe-AV63egFaaaU6pRZOaqYa3UjUyOpj8mPnu0rxdcI8mmXIDvt-96xRdcOVhKYt5Pd35HOc0lCOMyWvkhOALNDPHeTK9zmhN6sUljZtDGdmW4Nh2mxrMLyw3_aG02KJ3Ru5z70Apzsg27_4tu1_p39yjYxN</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>211109226</pqid></control><display><type>article</type><title>Percutaneous Endovascular Aortic Aneurysm Repair: A Prospective Evaluation of Safety, Efficiency, and Risk Factors</title><source>Access via SAGE</source><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Eisenack, Markus ; Umscheid, Thomas ; Tessarek, Joerg ; Torsello, Giovanni F. ; Torsello, Giovanni B.</creator><creatorcontrib>Eisenack, Markus ; Umscheid, Thomas ; Tessarek, Joerg ; Torsello, Giovanni F. ; Torsello, Giovanni B.</creatorcontrib><description>Purpose:
To evaluate the efficiency of totally percutaneous endovascular aortic aneurysm repair in a large cohort of patients and to define risk factors for failure with a 10-F vascular closure system.
Methods:
A prospective study examined the feasibility and safety of percutaneous femoral artery closure with a single Prostar XL 10-F vascular closure device applied in conjunction with the preclose technique. Between January 2004 and December 2005, 535 consecutive patients were treated for aortic aneurysmal disease. Thirty-five patients were excluded, leaving 500 patients (417 men; mean age 72±6.6 years) treated for aortic aneurysms using the Talent or Zenith stent-graft delivered through sheaths measuring 14-F (191, 21.2%), 16-F (33, 3.7%), 18-F (179, 19.8%), 20-F (2, 0.2%), 22-F (228, 25.2%), and 24-F (271, 29.9%). Primary clinical success was defined as the freedom from additional early or late procedures to treat any complication at the access site. Data were analyzed to reveal any correlation of access site complications or early/late repairs to operator experience or risk factors (obesity, extensive femoral artery calcification, and previous interventions/scars in the groin).
Results:
Primary success was achieved in 96.1% of all percutaneous approaches. Twenty-three patients developed early (n=16) or late (n=7) complications at the access vessel; in 12 cases, hemostasis was achieved using pledgets with the Prostar sutures. No wound complications were recorded. The need for early conversion to an open access correlated with CFA calcification (OR 74.5, 95% CI 17.8 to 310.7; p<0.001) and operator experience (OR 43.2, 95% CI 9.8 to 189.0; p<0.001). The risk of late access site repairs was significantly higher in the presence of a groin scar (OR 48.8, 95% CI 9.2 to 259.0; p<0.001). Correlation of sheath size with early conversion to open access was weaker compared to all the other factors (OR 1.2, CI 95% 1.0 to 1.4; p<0.05). Obesity was not a risk factor for any complication.
Conclusion:
Percutaneous EVAR using the Prostar XL is safe, with minimal early and late complications. Operator experience is one of the most significant predictors of success. Anterior wall calcification and severe fibrosis of the access vessel are also predictors of primary failure, whereas obesity and sheath size are not.</description><identifier>ISSN: 1526-6028</identifier><identifier>EISSN: 1545-1550</identifier><identifier>DOI: 10.1583/08-2622.1</identifier><identifier>PMID: 19995109</identifier><language>eng</language><publisher>Los Angeles, CA: SAGE Publications</publisher><subject>Aged ; Aneurysms ; Aortic Aneurysm, Abdominal - surgery ; Aortic Aneurysm, Thoracic - surgery ; Blood Vessel Prosthesis ; Blood Vessel Prosthesis Implantation - adverse effects ; Blood Vessel Prosthesis Implantation - instrumentation ; Blood Vessel Prosthesis Implantation - methods ; Catheterization, Peripheral - adverse effects ; Clinical Competence ; Feasibility Studies ; Female ; Femoral Artery ; Hemorrhage - etiology ; Hemorrhage - prevention & control ; Hemostatic Techniques - adverse effects ; Hemostatic Techniques - instrumentation ; Humans ; Male ; Odds Ratio ; Proportional Hazards Models ; Prospective Studies ; Prosthesis Design ; Punctures ; Risk Assessment ; Risk Factors ; Stents ; Treatment Failure ; Vascular surgery</subject><ispartof>Journal of endovascular therapy, 2009-12, Vol.16 (6), p.708-713</ispartof><rights>2009 International Society of Endovascular Specialists</rights><rights>Copyright Allen Press Publishing Services Dec 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c342t-70edcc28d379015d2b5029562f14a6f17f421398b287877d77bc68074846e8e03</citedby><cites>FETCH-LOGICAL-c342t-70edcc28d379015d2b5029562f14a6f17f421398b287877d77bc68074846e8e03</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://journals.sagepub.com/doi/pdf/10.1583/08-2622.1$$EPDF$$P50$$Gsage$$H</linktopdf><linktohtml>$$Uhttps://journals.sagepub.com/doi/10.1583/08-2622.1$$EHTML$$P50$$Gsage$$H</linktohtml><link.rule.ids>314,780,784,21819,27924,27925,43621,43622</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19995109$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Eisenack, Markus</creatorcontrib><creatorcontrib>Umscheid, Thomas</creatorcontrib><creatorcontrib>Tessarek, Joerg</creatorcontrib><creatorcontrib>Torsello, Giovanni F.</creatorcontrib><creatorcontrib>Torsello, Giovanni B.</creatorcontrib><title>Percutaneous Endovascular Aortic Aneurysm Repair: A Prospective Evaluation of Safety, Efficiency, and Risk Factors</title><title>Journal of endovascular therapy</title><addtitle>J Endovasc Ther</addtitle><description>Purpose:
To evaluate the efficiency of totally percutaneous endovascular aortic aneurysm repair in a large cohort of patients and to define risk factors for failure with a 10-F vascular closure system.
Methods:
A prospective study examined the feasibility and safety of percutaneous femoral artery closure with a single Prostar XL 10-F vascular closure device applied in conjunction with the preclose technique. Between January 2004 and December 2005, 535 consecutive patients were treated for aortic aneurysmal disease. Thirty-five patients were excluded, leaving 500 patients (417 men; mean age 72±6.6 years) treated for aortic aneurysms using the Talent or Zenith stent-graft delivered through sheaths measuring 14-F (191, 21.2%), 16-F (33, 3.7%), 18-F (179, 19.8%), 20-F (2, 0.2%), 22-F (228, 25.2%), and 24-F (271, 29.9%). Primary clinical success was defined as the freedom from additional early or late procedures to treat any complication at the access site. Data were analyzed to reveal any correlation of access site complications or early/late repairs to operator experience or risk factors (obesity, extensive femoral artery calcification, and previous interventions/scars in the groin).
Results:
Primary success was achieved in 96.1% of all percutaneous approaches. Twenty-three patients developed early (n=16) or late (n=7) complications at the access vessel; in 12 cases, hemostasis was achieved using pledgets with the Prostar sutures. No wound complications were recorded. The need for early conversion to an open access correlated with CFA calcification (OR 74.5, 95% CI 17.8 to 310.7; p<0.001) and operator experience (OR 43.2, 95% CI 9.8 to 189.0; p<0.001). The risk of late access site repairs was significantly higher in the presence of a groin scar (OR 48.8, 95% CI 9.2 to 259.0; p<0.001). Correlation of sheath size with early conversion to open access was weaker compared to all the other factors (OR 1.2, CI 95% 1.0 to 1.4; p<0.05). Obesity was not a risk factor for any complication.
Conclusion:
Percutaneous EVAR using the Prostar XL is safe, with minimal early and late complications. Operator experience is one of the most significant predictors of success. Anterior wall calcification and severe fibrosis of the access vessel are also predictors of primary failure, whereas obesity and sheath size are not.</description><subject>Aged</subject><subject>Aneurysms</subject><subject>Aortic Aneurysm, Abdominal - surgery</subject><subject>Aortic Aneurysm, Thoracic - surgery</subject><subject>Blood Vessel Prosthesis</subject><subject>Blood Vessel Prosthesis Implantation - adverse effects</subject><subject>Blood Vessel Prosthesis Implantation - instrumentation</subject><subject>Blood Vessel Prosthesis Implantation - methods</subject><subject>Catheterization, Peripheral - adverse effects</subject><subject>Clinical Competence</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Femoral Artery</subject><subject>Hemorrhage - etiology</subject><subject>Hemorrhage - prevention & control</subject><subject>Hemostatic Techniques - adverse effects</subject><subject>Hemostatic Techniques - instrumentation</subject><subject>Humans</subject><subject>Male</subject><subject>Odds Ratio</subject><subject>Proportional Hazards Models</subject><subject>Prospective Studies</subject><subject>Prosthesis Design</subject><subject>Punctures</subject><subject>Risk Assessment</subject><subject>Risk Factors</subject><subject>Stents</subject><subject>Treatment Failure</subject><subject>Vascular surgery</subject><issn>1526-6028</issn><issn>1545-1550</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNplkc1rGzEQxUVpaNKkh_4DRfSQUugm0uzqY3MzwWkDgYR8nIWsHRUl65Uj7Rr831fGhkB6mnf48WbmPUK-cnbGha7Pma5AApzxD-SIi0ZUXAj2catBVpKBPiSfc35mDDhw_okc8rZtBWftEUl3mNw02gHjlOl86OLaZjf1NtFZTGNwdDbglDZ5Se9xZUO6oDN6l2JeoRvDGul8bfvJjiEONHr6YD2Om1907n1wAQdXtB06eh_yC72ybowpn5ADb_uMX_bzmDxdzR8v_1Q3t7-vL2c3lasbGCvFsHMOdFerlnHRwUIwaIUEzxsrPVe-AV63egFaaaU6pRZOaqYa3UjUyOpj8mPnu0rxdcI8mmXIDvt-96xRdcOVhKYt5Pd35HOc0lCOMyWvkhOALNDPHeTK9zmhN6sUljZtDGdmW4Nh2mxrMLyw3_aG02KJ3Ru5z70Apzsg27_4tu1_p39yjYxN</recordid><startdate>200912</startdate><enddate>200912</enddate><creator>Eisenack, Markus</creator><creator>Umscheid, Thomas</creator><creator>Tessarek, Joerg</creator><creator>Torsello, Giovanni F.</creator><creator>Torsello, Giovanni B.</creator><general>SAGE Publications</general><general>Allen Press Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope></search><sort><creationdate>200912</creationdate><title>Percutaneous Endovascular Aortic Aneurysm Repair: A Prospective Evaluation of Safety, Efficiency, and Risk Factors</title><author>Eisenack, Markus ; Umscheid, Thomas ; Tessarek, Joerg ; Torsello, Giovanni F. ; Torsello, Giovanni B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c342t-70edcc28d379015d2b5029562f14a6f17f421398b287877d77bc68074846e8e03</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Aged</topic><topic>Aneurysms</topic><topic>Aortic Aneurysm, Abdominal - surgery</topic><topic>Aortic Aneurysm, Thoracic - surgery</topic><topic>Blood Vessel Prosthesis</topic><topic>Blood Vessel Prosthesis Implantation - adverse effects</topic><topic>Blood Vessel Prosthesis Implantation - instrumentation</topic><topic>Blood Vessel Prosthesis Implantation - methods</topic><topic>Catheterization, Peripheral - adverse effects</topic><topic>Clinical Competence</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Femoral Artery</topic><topic>Hemorrhage - etiology</topic><topic>Hemorrhage - prevention & control</topic><topic>Hemostatic Techniques - adverse effects</topic><topic>Hemostatic Techniques - instrumentation</topic><topic>Humans</topic><topic>Male</topic><topic>Odds Ratio</topic><topic>Proportional Hazards Models</topic><topic>Prospective Studies</topic><topic>Prosthesis Design</topic><topic>Punctures</topic><topic>Risk Assessment</topic><topic>Risk Factors</topic><topic>Stents</topic><topic>Treatment Failure</topic><topic>Vascular surgery</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Eisenack, Markus</creatorcontrib><creatorcontrib>Umscheid, Thomas</creatorcontrib><creatorcontrib>Tessarek, Joerg</creatorcontrib><creatorcontrib>Torsello, Giovanni F.</creatorcontrib><creatorcontrib>Torsello, Giovanni B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of endovascular therapy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Eisenack, Markus</au><au>Umscheid, Thomas</au><au>Tessarek, Joerg</au><au>Torsello, Giovanni F.</au><au>Torsello, Giovanni B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Percutaneous Endovascular Aortic Aneurysm Repair: A Prospective Evaluation of Safety, Efficiency, and Risk Factors</atitle><jtitle>Journal of endovascular therapy</jtitle><addtitle>J Endovasc Ther</addtitle><date>2009-12</date><risdate>2009</risdate><volume>16</volume><issue>6</issue><spage>708</spage><epage>713</epage><pages>708-713</pages><issn>1526-6028</issn><eissn>1545-1550</eissn><abstract>Purpose:
To evaluate the efficiency of totally percutaneous endovascular aortic aneurysm repair in a large cohort of patients and to define risk factors for failure with a 10-F vascular closure system.
Methods:
A prospective study examined the feasibility and safety of percutaneous femoral artery closure with a single Prostar XL 10-F vascular closure device applied in conjunction with the preclose technique. Between January 2004 and December 2005, 535 consecutive patients were treated for aortic aneurysmal disease. Thirty-five patients were excluded, leaving 500 patients (417 men; mean age 72±6.6 years) treated for aortic aneurysms using the Talent or Zenith stent-graft delivered through sheaths measuring 14-F (191, 21.2%), 16-F (33, 3.7%), 18-F (179, 19.8%), 20-F (2, 0.2%), 22-F (228, 25.2%), and 24-F (271, 29.9%). Primary clinical success was defined as the freedom from additional early or late procedures to treat any complication at the access site. Data were analyzed to reveal any correlation of access site complications or early/late repairs to operator experience or risk factors (obesity, extensive femoral artery calcification, and previous interventions/scars in the groin).
Results:
Primary success was achieved in 96.1% of all percutaneous approaches. Twenty-three patients developed early (n=16) or late (n=7) complications at the access vessel; in 12 cases, hemostasis was achieved using pledgets with the Prostar sutures. No wound complications were recorded. The need for early conversion to an open access correlated with CFA calcification (OR 74.5, 95% CI 17.8 to 310.7; p<0.001) and operator experience (OR 43.2, 95% CI 9.8 to 189.0; p<0.001). The risk of late access site repairs was significantly higher in the presence of a groin scar (OR 48.8, 95% CI 9.2 to 259.0; p<0.001). Correlation of sheath size with early conversion to open access was weaker compared to all the other factors (OR 1.2, CI 95% 1.0 to 1.4; p<0.05). Obesity was not a risk factor for any complication.
Conclusion:
Percutaneous EVAR using the Prostar XL is safe, with minimal early and late complications. Operator experience is one of the most significant predictors of success. Anterior wall calcification and severe fibrosis of the access vessel are also predictors of primary failure, whereas obesity and sheath size are not.</abstract><cop>Los Angeles, CA</cop><pub>SAGE Publications</pub><pmid>19995109</pmid><doi>10.1583/08-2622.1</doi><tpages>6</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 1526-6028 |
| ispartof | Journal of endovascular therapy, 2009-12, Vol.16 (6), p.708-713 |
| issn | 1526-6028 1545-1550 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_734176249 |
| source | Access via SAGE; MEDLINE; Alma/SFX Local Collection |
| subjects | Aged Aneurysms Aortic Aneurysm, Abdominal - surgery Aortic Aneurysm, Thoracic - surgery Blood Vessel Prosthesis Blood Vessel Prosthesis Implantation - adverse effects Blood Vessel Prosthesis Implantation - instrumentation Blood Vessel Prosthesis Implantation - methods Catheterization, Peripheral - adverse effects Clinical Competence Feasibility Studies Female Femoral Artery Hemorrhage - etiology Hemorrhage - prevention & control Hemostatic Techniques - adverse effects Hemostatic Techniques - instrumentation Humans Male Odds Ratio Proportional Hazards Models Prospective Studies Prosthesis Design Punctures Risk Assessment Risk Factors Stents Treatment Failure Vascular surgery |
| title | Percutaneous Endovascular Aortic Aneurysm Repair: A Prospective Evaluation of Safety, Efficiency, and Risk Factors |
| url | https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2024-12-22T23%3A55%3A32IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Percutaneous%20Endovascular%20Aortic%20Aneurysm%20Repair:%20A%20Prospective%20Evaluation%20of%20Safety,%20Efficiency,%20and%20Risk%20Factors&rft.jtitle=Journal%20of%20endovascular%20therapy&rft.au=Eisenack,%20Markus&rft.date=2009-12&rft.volume=16&rft.issue=6&rft.spage=708&rft.epage=713&rft.pages=708-713&rft.issn=1526-6028&rft.eissn=1545-1550&rft_id=info:doi/10.1583/08-2622.1&rft_dat=%3Cproquest_cross%3E1929149971%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=211109226&rft_id=info:pmid/19995109&rft_sage_id=10.1583_08-2622.1&rfr_iscdi=true |