BMC surgery · 2013
Transradial approach for the endovascular treatment of type I endoleak after aortic aneurysm repair: a case report.
Клинический случайСтатьяНазвание и аннотация: Перевод пока не подготовлен
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Schiattarella Gabriele Giacomo, Magliulo Fabio, Laurino Flora Ilaria, Bottino Roberta, Bruno Antonio Giulio, De Paulis Michele, Sorropago Antonio, Perrino Cinzia, Amato Bruno, Leosco Dario, Trimarco Bruno, Esposito Giovanni
Аннотация
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.
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.