Ces radiol. 2007, 61(2):153-156

Endovascular treatment of abdominal aortic paraanastomotic pseudoaneurysms after prosthetic reconstructionsOriginal article

Marie Černá¹, Martin Köcher¹, Petr Utíkal², Jiřina Koutná³, Petr Dráč², Petr Bachleda², Stanislav Buřval¹

¹ Radiologická klinika FN, Olomouc

² II. chirurgická klinika FN, Olomouc

³ Klinika anesteziologie a resuscitace FN, Olomouc

Aim: To evaluate efficacy and importance of endovascular treatment of paraaortic postoperative abdominal aorta pseudoaneurysms.

Method: Five men with paraaortic postoperative abdominal aortic pseudoaneurysm underwent endovascular treatment between April 1996 and February 2007. Average age was 64.2 years (range 54-73). The average time interval between primary surgery and endovascular treatment was 12.4 years (range 4 months - 23 years). Three patients were treated by aortouniiliacal stentgraft and two patients by tube stentgraft.

Results: Technical success was 100 %. Pseudoaneurysms were primary excluded from circulation without perioperative complications in all patients. At follow-up (mean 29.5 months) there were no deaths as well as no endoleaks. In one patient, thrombosis of stentgraft was found and it was successfully treated by thrombectomy. All pseudoaneurysms remain excluded from circulation.

Conclusion: Endovascular treatment is minimally invasive, efficient, and safe alternative to surgery for paraaortic postoperative pseudoaneurysms.

Keywords: aortobifemoral bypass, endovascular treatment, paraanastomotic aneurysms, paraaortic aneurysms, pseudoaneurysms

Accepted: April 15, 2007; Published: June 1, 2007  Show citation