{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,5]],"date-time":"2026-05-05T01:13:31Z","timestamp":1777943611214,"version":"3.51.4"},"reference-count":17,"publisher":"SAGE Publications","issue":"4","license":[{"start":{"date-parts":[[2017,1,9]],"date-time":"2017-01-09T00:00:00Z","timestamp":1483920000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Vascular"],"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose<\/jats:title>\n                    <jats:p>Percutaneous remote access for endovascular aortic repair is an advantageous alternative to open access. Previous surgery in the femoral region and the presence of synthetic vascular grafts in the femoral\/iliac arteries represent major limitations to percutaneous remote access. The aim of this study was to evaluate an original technique used for enabling percutaneous remote access for thoracic or abdominal endovascular aortic repair in patients with scar tissue and\/or a vascular graft in the groin.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty-five consecutive patients with a thoracic (11\/25; 44%) or an aortic aneurysm (14\/25; 66%) and with a synthetic vascular graft in the groin (16\/25; 64%) or a redo groin access (9\/25; 36%) were managed through the percutaneous remote access. In all patients, a percutaneous transluminal angioplasty balloon was used to predilate the scar tissue and the femoral artery or the synthetic vascular graft after preclosing (ProGlide\u00ae; Abbott Vascular, Santa Clara, CA, USA). In 10 patients, requiring a 20 Fr sheath, a 6\u2009mm percutaneous transluminal angioplasty balloon was used; and in the remaining 15, requiring a 24 Fr sheath, an 8\u2009mm percutaneous transluminal angioplasty balloon. Preclosing was exclusively performed using ProGlide\u00ae. Mean follow-up was 15 months.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>In all cases, stent-graft deployment was successful. There was one surgical conversion (4%; 1\/25) due to bleeding from a femoral anastomosis. Two cases required additional percutaneous maneuvers (postclosing with another system in one patient and endoluminal shielding with stent-graft in the other patient). No pseudoaneurysm or access complication occurred during the follow-up.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Percutaneous access in redo groins with scar tissue and\/or synthetic vascular graft using ultrasound-guided punction, preclosing with ProGlide\u00ae system and predilation with percutaneous transluminal angioplasty balloon to introduce large size sheath as used for endovascular aortic repair showed to be feasible, safe and with few local complications.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1708538116688786","type":"journal-article","created":{"date-parts":[[2017,1,10]],"date-time":"2017-01-10T01:42:46Z","timestamp":1484012566000},"page":"396-401","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":9,"title":["Predilation technique with balloon angioplasty to facilitate percutaneous groin access of large size sheath through scar tissue"],"prefix":"10.1177","volume":"25","author":[{"given":"Felice","family":"Pecoraro","sequence":"first","affiliation":[{"name":"Clinic for Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland"},{"name":"Vascular Surgery Unit, University of Palermo, Palermo, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mayur","family":"Krishnaswamy","sequence":"additional","affiliation":[{"name":"Clinic for Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland"},{"name":"Department of General Surgery, St. Vincent's Hospital Melbourne, Fitzroy, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Johnny","family":"Steuer","sequence":"additional","affiliation":[{"name":"Department of Surgery, Stockholm South Hospital, Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gilbert","family":"Puippe","sequence":"additional","affiliation":[{"name":"Interventional Radiology, University Hospital Zurich, Zurich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicola","family":"Mangialardi","sequence":"additional","affiliation":[{"name":"Department of Vascular Surgery, San Filippo Neri Hospital, Rome, Italy"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Thomas","family":"Pfammatter","sequence":"additional","affiliation":[{"name":"Department of Surgery, Stockholm South Hospital, Stockholm, Sweden"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zoran","family":"Rancic","sequence":"additional","affiliation":[{"name":"Clinic for Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Frank J","family":"Veith","sequence":"additional","affiliation":[{"name":"Clinic for Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland"},{"name":"The Cleveland Clinic, Cleveland, OH, USA"},{"name":"New York University Medical Center, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Neal S","family":"Cayne","sequence":"additional","affiliation":[{"name":"The Cleveland Clinic, Cleveland, OH, USA"},{"name":"New York University Medical Center, NY, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mario","family":"Lachat","sequence":"additional","affiliation":[{"name":"Clinic for Cardiovascular Surgery, University Hospital Zurich, Zurich, Switzerland"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2017,1,9]]},"reference":[{"key":"bibr1-1708538116688786","doi-asserted-by":"publisher","DOI":"10.1583\/11-342.1"},{"key":"bibr2-1708538116688786","doi-asserted-by":"publisher","DOI":"10.1177\/1708538116639201"},{"key":"bibr3-1708538116688786","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2015.01.058"},{"key":"bibr4-1708538116688786","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2013.04.065"},{"key":"bibr5-1708538116688786","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2013.05.028"},{"key":"bibr6-1708538116688786","doi-asserted-by":"publisher","DOI":"10.1583\/08-2622.1"},{"key":"bibr7-1708538116688786","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjcard.2004.07.136"},{"key":"bibr8-1708538116688786","doi-asserted-by":"publisher","DOI":"10.1016\/S0741-5214(97)70349-5"},{"key":"bibr9-1708538116688786","doi-asserted-by":"publisher","DOI":"10.1016\/j.jvs.2007.10.032"},{"key":"bibr10-1708538116688786","first-page":"509","volume":"83","author":"Bracale 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Maloinwazyjne"},{"key":"bibr15-1708538116688786","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.30.5.654"},{"key":"bibr16-1708538116688786","doi-asserted-by":"publisher","DOI":"10.1016\/j.avsg.2008.06.003"},{"key":"bibr17-1708538116688786","doi-asserted-by":"publisher","DOI":"10.1097\/SLA.0b013e3182a617f1"}],"container-title":["Vascular"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1708538116688786","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1708538116688786","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1708538116688786","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,2]],"date-time":"2026-05-02T07:30:13Z","timestamp":1777707013000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1708538116688786"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,1,9]]},"references-count":17,"journal-issue":{"issue":"4","published-print":{"date-parts":[[2017,8]]}},"alternative-id":["10.1177\/1708538116688786"],"URL":"https:\/\/doi.org\/10.1177\/1708538116688786","relation":{},"ISSN":["1708-5381","1708-539X"],"issn-type":[{"value":"1708-5381","type":"print"},{"value":"1708-539X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,1,9]]}}}