Percutaneous placement and removal of large diameter femoral artery sheaths with the prostar XL device

Lukas C. van Dijk*, Peter M.T. Pattynama, Peter de Jaegere, Jurgen M.R. Ligthart, Patrick W. Serruys, Joke M. Hendriks

*Corresponding author for this work

Research output: Chapter/Conference proceedingChapterAcademic

Abstract

INTRODUCTION
For successful transcatheter aortic valve implantation (TAVI) as well as endovascular abdominal aneurysm repair (EVAR), and thoracic endovascular aneurysm repair (TEVAR), the insertion of large diameter arterial sheaths is necessary. Because of the necessary caliber of the sheaths, usually between 18 and 24 F (6-8 mm), the access is almost exclusively chosen via the femoraliliac arteries. In the past years we gradually changed our technique from a surgical cut-down to a percutaneous technique in all patients. The advantages of this less invasive technique are increased patient comfort immediately after the procedure and a diminished requirement for anesthetic drugs during and after the procedure. In most patients, the percutaneous technique of placement and removal of large diameter femoral arterial sheaths can be performed under local anesthesia only. In other words, the need for the presence of an anesthesiological team is dictated by the condition of the patient only and, to some extent, to the length of the procedure and not by the necessity to perform an open-surgical cut-down in the groin.
Original languageEnglish
Title of host publicationTranscatheter Aortic Valve Implantation
Subtitle of host publicationTips and Tricks to Avoid Failure
EditorsPatrick W. Serruys, Nicolo Piazza, Alain Cribier, John Webb, Jean-Claude Laborde, Peter de Jaegere
Place of PublicationLondon
PublisherCRC Press (Taylor & Francis Group)
Chapter11
Pages137-141
Number of pages5
Edition1st edition
ISBN (Electronic)9780203092095, 9780429131585
ISBN (Print)9781841846897
DOIs
Publication statusPublished - 24 Nov 2009

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