title: Transradial approach for the endovascular treatment of type I endoleak after aortic aneurysm repair: a case report.
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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.forename: Gabriele Giacomo
authors.initials: GG
authors.lastname: Schiattarella
authors.forename: Fabio
authors.initials: F
authors.lastname: Magliulo
authors.forename: Flora Ilaria
authors.initials: FI
authors.lastname: Laurino
authors.forename: Roberta
authors.initials: R
authors.lastname: Bottino
authors.forename: Antonio Giulio
authors.initials: AG
authors.lastname: Bruno
authors.forename: Michele
authors.initials: M
authors.lastname: De Paulis
authors.forename: Antonio
authors.initials: A
authors.lastname: Sorropago
authors.forename: Cinzia
authors.initials: C
authors.lastname: Perrino
authors.forename: Bruno
authors.initials: B
authors.lastname: Amato
authors.forename: Dario
authors.initials: D
authors.lastname: Leosco
authors.forename: Bruno
authors.initials: B
authors.lastname: Trimarco
authors.forename: Giovanni
authors.initials: G
authors.lastname: Esposito
mesh_terms: D000369:Aged, 80 and over; D017544:Aortic Aneurysm, Abdominal / Q000601:surgery*; D057867:Endoleak / Q000145:classification / Q000601:surgery*; D057510:Endovascular Procedures / Q000379:methods*; D006801:Humans; D008297:Male; D017534:Radial Artery