title: Endovascular treatment of proximal anastomotic aneurysms after aortic prosthetic reconstruction.
abstract: OBJECTIVE
  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 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.
  
  
  CONCLUSIONS
  Stent-graft exclusion of aortic pseudoaneurysms offers a minimally invasive and safe alternative to open surgical reconstruction.
authors.affiliation: Department of Vascular Surgery, University Hospital Graz, Auenbruggerplatz 29, A-8036 Graz, Austria.
authors.forename: K
authors.initials: K
authors.lastname: Tiesenhausen
authors.forename: K A
authors.initials: KA
authors.lastname: Hausegger
authors.forename: J
authors.initials: J
authors.lastname: Tauss
authors.forename: W
authors.initials: W
authors.lastname: Amann
authors.forename: G
authors.initials: G
authors.lastname: Koch
mesh_terms: D000368:Aged; D000714:Anastomosis, Surgical; D017541:Aneurysm, False / Q000209:etiology / Q000601:surgery*; D017546:Angioscopy; D001012:Aorta, Abdominal; D017544:Aortic Aneurysm, Abdominal / Q000209:etiology / Q000601:surgery*; D001807:Blood Vessel Prosthesis / Q000009:adverse effects*; D006801:Humans; D008875:Middle Aged; D014656:Vascular Surgical Procedures