Transradial approach for the endovascular treatment of type I endoleak after aortic aneurysm repair: a case report

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• 作者：Gabriele Giacomo Schiattarella (117)
  Fabio Magliulo (117)
  Flora Ilaria Laurino (117)
  Roberta Bottino (117)
  Antonio Giulio Bruno (117)
  Michele De Paulis (117)
  Antonio Sorropago (117)
  Cinzia Perrino (117)
  Bruno Amato (118)
  Dario Leosco (119)
  Bruno Trimarco (117)
  Giovanni Esposito (117)
  
• 刊名：BMC Surgery
• 出版年：2013
• 出版时间：October 2013
• 年：2013
• 卷：13
• 期：2-supp
• 全文大小：
• 作者单位：Gabriele Giacomo Schiattarella (117)
  Fabio Magliulo (117)
  Flora Ilaria Laurino (117)
  Roberta Bottino (117)
  Antonio Giulio Bruno (117)
  Michele De Paulis (117)
  Antonio Sorropago (117)
  Cinzia Perrino (117)
  Bruno Amato (118)
  Dario Leosco (119)
  Bruno Trimarco (117)
  Giovanni Esposito (117)
  
  117. Department of Advanced Biomedical Sciences, Federico II University, via Pansini 5, 80131, Naples, Italy
  118. Department of Clinical Medicine and Surgery, Federico II University, via Pansini 5, 80131, Naples, Italy
  119. Department of Translational Medical Sciences, Federico II University, via Pansini 5, 80131, Naples, Itlay
  
• ISSN：1471-2482

文摘

Background Endovascular repair of aortic aneurysms (EVAR) is obtained through the positioning of an aortic stent-graft, which excludes the aneurysmatic dilation. Type I endoleak is the most common complication, and it is caused by an incompetent proximal or distal attachment site, causing the separation between the stent-graft and the native arterial wall, and in turn creating direct communication between the aneurysm sac and the systemic arterial circulation. Endoleak occurrence is associated with high intrasac pressures, and requires a quick repair to prevent abdominal aortic aneurysm rupture. Case presentation We report the first case of a 80-year-old man undergoing percutaneous closure of a peri-graft endoleak (type I) by transcatheter embolization through radial arterial access. Conclusion The transradial approach has been shown to be a safe and effective alternative to the traditional transfemoral approach. A decrease in vascular complications and improved patient comfort are the primary benefits of this technique in patients with previous EVAR.