Endovascular Treatment of Proximal Anastomotic Aneurysms After Aortic Prosthetic Reconstruction

Journal Article · Mon Jan 15 04:00:00 EST 2001 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S002700001740· OSTI ID:21083541

Tiesenhausen, Kurt ^[1]; Hausegger, Klaus A; Tauss, Josef ^[2]; Amann, Wilfried; Koch, Guenter ^[1]

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1. Department of Vascular Surgery, University Hospital Graz, Auenbruggerplatz 29, A-8036 Graz (Austria)
2. Department of Radiology, University Hospital Graz, Auenbruggerplatz 29, A-8036 Graz (Austria)

Purpose: To describe the efficacy and value of endovascular stent-grafts for the treatment of aortic anastomotic pseudoaneurysms.Methods: Three patients with proximal aortic anastomotic pseudoaneurysms 8-15 years after prosthetic reconstruction were treated by transfemoral stent-graft implantation. In two patients the pseudoaneurysms were excluded by Talent prostheses [tube graft (n = 1), bifurcated graft (n = 1)]. In one patient an uni iliac Zenith stent-graft was implanted and an extra-anatomic crossover bypass for revascularization of the contralateral lower extremity was performed.Results: All procedures were successful with primary exclusion of the pseudoaneurysms. During the follow-up (mean 16 months) one endoleak occurred due to migration of the tube stent-graft. The endoleak was sealed successfully by implanting an additional bifurcated stent-graft.Conclusion: Stent-graft exclusion of aortic pseudoaneurysms offers a minimally invasive and safe alternative to open surgical reconstruction.

• OSTI ID: 21083541
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 1 Vol. 24; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
BYPASSES
GRAFTS
PATIENTS
PROSTHESES
SURGERY