Endovascular treatment of proximal anastomotic aneurysms after aortic prosthetic reconstruction

Citation
K. Tiesenhausen et al., Endovascular treatment of proximal anastomotic aneurysms after aortic prosthetic reconstruction, CARDIO IN R, 24(1), 2001, pp. 49-52
Citations number
17
Categorie Soggetti
Radiology ,Nuclear Medicine & Imaging
Journal title
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
ISSN journal
01741551 → ACNP
Volume
24
Issue
1
Year of publication
2001
Pages
49 - 52
Database
ISI
SICI code
0174-1551(200101/02)24:1<49:ETOPAA>2.0.ZU;2-Q
Abstract
Purpose: To describe the efficacy and value of endovascular stent-grafts fo r 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 T alent prostheses [tube graft (n = 1), bifurcated graft (n = 1)]. In one pat ient an uniiliac Zenith stent-graft was implanted and an extra-anatomic cro ssover bypass for revascularization of the contralateral lower extremity wa s performed. Results: All procedures were successful with primary exclusion of the pseud oaneurysms. During the follow-hip (mean 16 months) one endoleak occurred du e to migration of the tube stent-graft. The endoleak was sealed successfull y by implanting an additional bifurcated stent-graft. Conclusion: Stent-graft exclusion of aortic pseudoaneurysms offers a minima lly invasive and safe alternative to open surgical reconstruction.