According to the principles of minimal invasive surgery a reduced operative
trauma and complication rate are the main goals of endovascular aneurysm e
xclusion. From July 1996 to August 1999 we found 75 patients eligible for e
ndovascular aneurysm therapy. The procedure was primarily successful in 95
% of the patients. In the first time we had to switch to open surgery in 4
patients. There was 1 procedure related death. Most frequent later complica
tions were graft occlusion (9.7 %) and type I, II and III leakages (14.1 %)
, which were partially repaired using endovascular techniques and partially
by use of open surgery. In a selected group of patients the middle term re
sults of infrarenal aneurysm therapy by endovascular stent graft implantati
on are promising.