Endovascular treatment of proximal arsastomotic aneurysms after aortic prosthetic reconstruction
- University Hospital Graz, Department of Vascular Surgery (Austria)
- University Hospital Graz, Department of Radiology (Austria)
Purpose: To describe the efficacy and value of endovascular stent-grafts for the treatment of aortic anastomotic pseudo-aneurysms.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=s1)]. In one patient an uniiliac 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:
- 21414351
- Journal Information:
- Cardiovascular and Interventional Radiology, Vol. 24, Issue 1; Other Information: DOI: 10.1007/s002700001740; Copyright (c) 2001 Springer-Verlag; Article Copyright (c) 2001 Springer-Verlag New York, Inc; ISSN 0174-1551
- Country of Publication:
- United States
- Language:
- English
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