title: Regression of perianeurysmal fibrosis and ureteral dilation following endovascular repair of inflammatory abdominal aortic aneurysm.
abstract: An inflammatory component to abdominal aortic aneurysms (AAA) is thought to occur in approximately 5% of cases. Accompanying ureteral entrapment may be involved in 20% of these. Transabdominal repair of inflammatory AAA with ureterolysis may result in increased complications. Many authorities have recommended a retroperitoneal approach to decrease dissection. Similarly, an endovascular approach has been utilized. We report here the results of a patient with an inflammatory AAA with bilateral ureteral obstruction successfully treated with endovascular stent graft repair and bilateral ureteral stents with exclusion of the aneurysm and resolution of hydronephrosis.
authors.affiliation: Division of Vascular Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
authors.forename: T F
authors.initials: TF
authors.lastname: Rehring
authors.forename: D C
authors.initials: DC
authors.lastname: Brewster
authors.forename: J A
authors.initials: JA
authors.lastname: Kaufman
authors.forename: C M
authors.initials: CM
authors.lastname: Fan
authors.forename: S C
authors.initials: SC
authors.lastname: Geller
mesh_terms: D000368:Aged; D017544:Aortic Aneurysm, Abdominal / Q000150:complications* / Q000601:surgery*; D002404:Catheterization / Q000295:instrumentation; D006801:Humans; D008297:Male; D012185:Retroperitoneal Fibrosis / Q000209:etiology* / Q000628:therapy*; D015607:Stents; D014517:Ureteral Obstruction / Q000209:etiology* / Q000628:therapy*; D014656:Vascular Surgical Procedures / Q000295:instrumentation