A novel technique using the percutaneous vascular surgery device to close the 22 French femoral artery entry site used for percutaneous abdominal aortic aneurysm exclusion.

Endovascular techniques are now available for treatment of infrarenal abdominal aortic aneurysms (AAA) using various stent-graft systems. The delivery system of these device's call for large, 16 and 22 Fr sheaths, requiring open surgical femoral artery exposure to introduce and remove. We describe a novel technique that can be used to access and close percutaneously these large bore entry sites. We deployed an AneuRx stent-graft into a 68-year-old man for the treatment of an infrarenal AAA. After deployment of the AneuRx stent-graft was completed, the left femoral artery was successfully percutaneously sutured with a 10 Fr and an 8 Fr percutaneous vascular surgery (PVS) device. The right femoral artery was percutaneously sutured with a 10 Fr PVS device. This case describes the technique and demonstrates that the PVS devices can be used to percutaneously close femoral artery entry sites as big as 22F.