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Title: Endovascular treatment of proximal arsastomotic aneurysms after aortic prosthetic reconstruction

Abstract

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.

Authors:
 [1]; ;  [2]; ;  [1]
  1. University Hospital Graz, Department of Vascular Surgery (Austria)
  2. University Hospital Graz, Department of Radiology (Austria)
Publication Date:
OSTI Identifier:
21414351
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 24; Journal Issue: 1; Other Information: DOI: 10.1007/s002700001740; Copyright (c) 2001 Springer-Verlag; Article Copyright (c) 2001 Springer-Verlag New York, Inc; Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; AORTA; GRAFTS; PROSTHESES; SURGERY; TUBES; ARTERIES; BLOOD VESSELS; BODY; CARDIOVASCULAR SYSTEM; MEDICAL SUPPLIES; MEDICINE; ORGANS; TRANSPLANTS

Citation Formats

Tiesenhausen, Kurt, Hausegger, Klaus A, Tauss, Josef, Amann, Wilfried, and Koch, Guenter. Endovascular treatment of proximal arsastomotic aneurysms after aortic prosthetic reconstruction. United States: N. p., 2001. Web. doi:10.1007/S002700001740.
Tiesenhausen, Kurt, Hausegger, Klaus A, Tauss, Josef, Amann, Wilfried, & Koch, Guenter. Endovascular treatment of proximal arsastomotic aneurysms after aortic prosthetic reconstruction. United States. https://doi.org/10.1007/S002700001740
Tiesenhausen, Kurt, Hausegger, Klaus A, Tauss, Josef, Amann, Wilfried, and Koch, Guenter. 2001. "Endovascular treatment of proximal arsastomotic aneurysms after aortic prosthetic reconstruction". United States. https://doi.org/10.1007/S002700001740.
@article{osti_21414351,
title = {Endovascular treatment of proximal arsastomotic aneurysms after aortic prosthetic reconstruction},
author = {Tiesenhausen, Kurt and Hausegger, Klaus A and Tauss, Josef and Amann, Wilfried and Koch, Guenter},
abstractNote = {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.},
doi = {10.1007/S002700001740},
url = {https://www.osti.gov/biblio/21414351}, journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 1,
volume = 24,
place = {United States},
year = {Mon Jan 15 00:00:00 EST 2001},
month = {Mon Jan 15 00:00:00 EST 2001}
}