Endovascular treatment of abdominal aortic paraanastomotic pseudoaneurysms after surgical reconstruction.
OBJECTIVE
To evaluate the efficacy of endovascular treatment of paraaortic postoperative abdominal aortic pseudoaneurysms.


METHODS
From April 1996 to November 2007 five men with paraaortic postoperative abdominal aortic pseudoaneurysm underwent endovascular treatment. Average age was 64.2 years (range 54-73). The average time interval between the primary surgery and endovascular treatment was 12.4 years (4 months-23 years). Three patients were treated by aortouniiliacal stentgrafts and two patients by tube stentgrafts.


RESULTS
Technical success rate was 100%. Pseudoaneurysms were primarily excluded from circulation without perioperative complications in all patients. At follow-up (mean 38.5 months) there were no deaths and no endoleaks. In one patient thrombosis of stentgraft was found and it was successfully treated by thrombectomy. All pseudoaneurysms still continued to be excluded from circulation in the last follow-up.


CONCLUSIONS
Endovascular treatment is minimally invasive, effective and safe option of surgery for paraaortic postoperative pseudoaneurysms.
Cerná
Marie
M
Department of Radiology, University Hospital, I. P. Pavlova 6, 775 20 Olomouc, Czech Republic.
Köcher
Martin
M
Utíkal
Petr
P
Koutná
Jirina
J
Drác
Petr
P
Bachleda
Petr
P
Burval
Stanislav
S
Kozák
Jirí
J
Thomas
Rohit Philip
RP
D000368:Aged; D000714:Anastomosis, Surgical / Q000009:adverse effects*; D017541:Aneurysm, False / Q000209:etiology* / Q000628:therapy*; D001012:Aorta, Abdominal / Q000601:surgery*; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D019651:Plastic Surgery Procedures / Q000009:adverse effects*; D016896:Treatment Outcome