Backgrounds Aortic diseases have been diagnosed and studied for centuries. In the current era, endovascular therapy with percutaneous stent-graft placement has become a viable therapeutic option and will surely improve with continuing technological advances. As technology trends towards less invasive, a truly percutaneous therapy would be desirable. We describes and reports a Preclosing technique for femoral access sites management without groin incisions.
Methods From Oct 2009 to May 2010, consecutive 70 patients (63 males; mean age: 61.4±7.4 years) underwent endovascular repair for aortic dissections (n=46) and thoracic (n=3) or abdominal aortic aneurysms (n=21) using the Preclosing technique. Preprocedural CTA was performed to assess the suitability of common femoral artery anatomy. Endografts used included Zenith (Cook, USA