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

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Item Type:Article
Title:Transradial approach for the endovascular treatment of type I endoleak after aortic aneurysm repair: a case report
Creators Name:Schiattarella, G.G. and Magliulo, F. and Laurino, F.I. and Bottino, R. and Bruno, A.G. and De Paulis, M. and Sorropago, A. and Perrino, C. and Amato, B. and Leosco, D. and Trimarco, B. and Esposito, G.
Abstract: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.
Keywords:Abdominal Aortic Aneurysm, Endoleak, Endovascular Procedures, Radial Artery
Source:BMC Surgery
Number:Suppl 2
Page Range:S47
Date:8 October 2013
Official Publication:https://doi.org/10.1186/1471-2482-13-S2-S47
PubMed:View item in PubMed

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