Endovascular treatment of proximal anastomotic aneurysms after aortic prosthetic reconstruction.
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.
Tiesenhausen
K
K
Department of Vascular Surgery, University Hospital Graz, Auenbruggerplatz 29, A-8036 Graz, Austria.
Hausegger
K A
KA
Tauss
J
J
Amann
W
W
Koch
G
G
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