Semin intervent Radiol 2009; 26(1): 067-073
DOI: 10.1055/s-0029-1208387
© Thieme Medical Publishers

Current Status of Percutaneous Endografting

Bulent Arslan1 , Ulku C. Turba1 , Saher Sabri1 , J. Fritz Angle1 , Alan H. Matsumoto1
  • 1Division of Interventional Radiology, University of Virginia Health System, Charlottesville, Virginia
Further Information

Publication History

Publication Date:
16 March 2009 (online)


Significant advances in the technology and techniques in the field of endovascular thoracic and abdominal aortic aneurysm repair have been made since its introduction in the early 1990s. The low incidence of periprocedural complications combined with comparable early outcomes to open surgery have made the endovascular treatment option the first choice of therapy in patients whose aortic anatomy is suitable for endografting. All currently available endografts for aortic aneurysm repair have delivery systems at least 21-French in outer diameter and have traditionally been inserted via surgical cutdowns. More recently, attempts to validate a totally percutaneous approach to the placement of these devices have been introduced by utilizing suture-mediated closure devices. This article will provide an overview of suture-mediated closure devices, our experience with the off-label application of suture-mediated devices for percutaneous closure of arterial access sites during endovascular aneurysm repair, and a review of the literature on this topic.


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Bulent ArslanM.D. 

Assistant Professor of Radiology, Division of Interventional Radiology, University of Virginia Health System

Box 800170, Charlottesville, VA 22947