Endovascular treatment of proximal anastomotic aneurysms after aortic prosthetic reconstruction

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.