Costantino Del Giudice MD, Presenter: Nothing to Disclose

Roberto Gandini MD, PhD, Abstract Co-Author: Nothing to Disclose

Carlo Andrea Reale, Abstract Co-Author: Nothing to Disclose

Giorgio Loreni, Abstract Co-Author: Nothing to Disclose

Erald Vasili, Abstract Co-Author: Nothing to Disclose

Giovanni Simonetti MD, Abstract Co-Author: Nothing to Disclose

To assess feasibility and efficacy of percutaneous endovascular abdominal aortic aneurysm (AAA) repair using Ovation Trivascular stent-graft with hemostasis at the puncture site through manual compression.

A prospective study was conducted on 27 consecutive patients (26 males and 1 females; mean age: 73,5±5,2), with AAA treated between December 2010 and May 2012 using the Ovation stent-graft system with an entirely percutaneous approach. The mean AAA diameter was 56.1±7.6mm. Manual compression was performed to obtain postprocedural hemostasis

The stent-graft was successfully implanted in all patients using an entirely percutaneous approach. Two patient (7.4%) presented a type II endoleak after stent-graft implantation with a spontaneous resolution in one case and treated with coil embolization in the other one. Manual hemostasis was achieved in all cases without complications. No surgical conversions were required. During follow-up, no aneurysm-related deaths were recorded. Through 24 months, each AAA shrunk by at least 5 mm and no device-related events were observed on imaging.

The Ovation stent-graft allows safe and effective treatment of AAAs with hemostasis of the puncture site by manual compression.

This approach may allow abdominal aortic treatment without need of a surgical access and percutaneous closure device, reducing access related complications

Del Giudice, C, Gandini, R, Reale, C, Loreni, G, Vasili, E, Simonetti, G, Manual Compression for Puncture Site Hemostasis after Percutaneous Treatment of Abdominal Aortic Aneurysm Using a Low Profile Device: A Single Center Experience .  Radiological Society of North America 2013 Scientific Assembly and Annual Meeting, December 1 - December 6, 2013 ,Chicago IL. http://archive.rsna.org/2013/13020479.html