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

Gabriele Giacomo Schiattarella,Cinzia Perrino,Fabio Magliulo,Dario Leosco,Flora Ilaria Laurino,Antonio Giulio Bruno,Bruno Trimarco,Antonio Sorropago,Bruno Amato,Michele De Paulis,Giovanni Esposito,Roberta Bottino

doi:10.1186/1471-2482-13-s2-s47

Gabriele Giacomo Schiattarella, Cinzia Perrino + Show 10 more

Open Access

https://doi.org/10.1186/1471-2482-13-s2-s47

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Journal: BMC Surgery	Publication Date: Oct 1, 2013
Citations: 40	License type: cc-by

Affiliation: Federico II University Hospital

Abstract

BackgroundEndovascular 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 presentationWe 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.ConclusionThe 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.

Highlights

Endovascular repair of aortic aneurysms (EVAR) is obtained through the positioning of an aortic stent-graft, which excludes the aneurysmatic dilation
Peripheral arterial disease (PAD) is one of the most frequent manifestations of atherosclerosis and it is associated to a high incidence of major cardiovascular events [1,2,3,4,5]; it might involve the abdominal aorta, the epi-aortic trunks and the limb arteries [6,7,8]
EVAR short and mid-term results indicate that this procedure is effective and might be even safer than classical open repair, given to the lack of long term follow up data, it is still considered a second choice compared to classic surgery, rather than an equal alternative [2]

Summary

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

Background

Findings

Conclusions