Endovascular treatment of proximal arsastomotic aneurysms after aortic prosthetic reconstruction
- 1 January 2001
- journal article
- research article
- Published by Springer Nature in CardioVascular and Interventional Radiology
- Vol. 24 (1) , 49-52
- https://doi.org/10.1007/s002700001740
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.Keywords
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