Key result
Percutaneous EVAR offers a safe alternative to surgical cutdown for outpatient treatment in select patients.
Why the study?
Percutaneous access techniques can avoid surgical cutdown in EVAR, and familiarity with these techniques, risks, and alternatives can help improve outcomes and availability.
Percutaneous access techniques for EVAR are becoming increasingly common and may allow for safe outpatient procedures in select patients.
Supports percutaneous femoral access for EVAR in select centers; leaves open need for RCTs to guide broader adoption.
Endovascular aneurysm repair (EVAR) is a common, safe, and effective method of treating abdominal aortic aneurysms. Traditionally treated via surgical cutdown over the common femoral arteries, many recent studies demonstrate percutaneous access techniques to avoid the surgical cutdown. Developing familiarity with these percutaneous techniques, including risks, complications, adjuncts, and alternative accesses, can help improve the outcomes and availability of EVAR. As these techniques become increasingly common, it is not unlikely that they can be practiced safely in select patients in an outpatient setting.
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Micah M. Watts (2020) conducted a review in Abdominal aortic aneurysms. Percutaneous endovascular aneurysm repair (EVAR) vs. Surgical cutdown was evaluated. Percutaneous endovascular aneurysm repair is an increasingly common alternative to surgical cutdown that may allow for safe outpatient treatment in select patients.
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