Endovascular Treatment of Proximal Anastomotic Aneurysms After Aortic Prosthetic Reconstruction
- Department of Vascular Surgery, University Hospital Graz, Auenbruggerplatz 29, A-8036 Graz (Austria)
- 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, Vol. 24, Issue 1; Other Information: DOI: 10.1007/s002700001740; Copyright (c) 2001 Springer-Verlag New York Inc; Country of input: International Atomic Energy Agency (IAEA); ISSN 0174-1551
- Country of Publication:
- United States
- Language:
- English
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