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Recanalization and Stenting of the Celiac and the Superior Mesenteric Artery Supported by Use of a Steerable Introducer Sheath: Report on 2 Years’ Experience
- Source :
- Vascular and Endovascular Surgery. 55:158-163
- Publication Year :
- 2020
- Publisher :
- SAGE Publications, 2020.
-
Abstract
- Purpose: To compare technical parameters and success of recanalization of celiac (CA) or superior mesenteric artery (SMA) with usage of steerable vs not steerable introducer sheaths. Methods: A retrospective analysis was performed on all consecutive patients who underwent recanalization with stent implantation of CA or SMA between 2015 and 2019. Data regarding technical success (successful stent placement with restoration of sufficient blood flow by the first attempt without changing kind of introducer sheath or access site), indication for treatment, vascular access, kind of introducer sheath, fluoroscopy time and radiation dose were collected. Preinterventional CT were analyzed to classify the difficulty of catheterization of target vessels. Technical parameters were compared with independent t-test (p ≤ 0.05). Results: 66 patients underwent recanalization of CA or SMA. Usage of steerable introducer sheaths was associated with higher technical success compared to not steerable introducer sheaths with transfemoral approach respectively of 8/8 vs 15/19 for the CA and 11/11 vs 17/20 for the SMA. Steerable introducer sheaths were used in recanalization considered more technically difficult compared to not steerable introducer sheaths (58% vs 33%). Usage of steerable introducer sheath showed a statistically significant reduction of radiation dose in the recanalization of the SMA (respectively 32035 ± 15716 cGy cm2 vs 60102 ± 28432 cGy cm2; p = 0.005). Conclusion: Even if used in more difficult interventions, steerable introducer sheaths showed a higher technical success compared to not steerable introducer sheaths with transfemoral access.
- Subjects :
- Male
medicine.medical_specialty
Time Factors
Constriction, Pathologic
030204 cardiovascular system & hematology
030218 nuclear medicine & medical imaging
03 medical and health sciences
0302 clinical medicine
Celiac Artery
Mesenteric Artery, Superior
Celiac artery
medicine.artery
Mesenteric Vascular Occlusion
medicine
Humans
Superior mesenteric artery
Vascular Patency
Aged
Retrospective Studies
Aged, 80 and over
business.industry
Endovascular Procedures
General Medicine
Middle Aged
SMA
Treatment Outcome
Introducer sheath
Female
Stents
Surgery
Radiology
Cardiology and Cardiovascular Medicine
business
Vascular Access Devices
Subjects
Details
- ISSN :
- 19389116 and 15385744
- Volume :
- 55
- Database :
- OpenAIRE
- Journal :
- Vascular and Endovascular Surgery
- Accession number :
- edsair.doi.dedup.....20809c035d49ebd777103615170d84d8