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.
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Tiesenhausen, K., Hausegger, K.A., Tauss, J. et al. Endovascular treatment of proximal arsastomotic aneurysms after aortic prosthetic reconstruction. Cardiovasc Intervent Radiol 24, 49–52 (2001). https://doi.org/10.1007/s002700001740
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DOI: https://doi.org/10.1007/s002700001740