Endovascular repair of inflammatory abdominal aortic aneurysms with special reference to concomitant ureteric obstruction.

Abstract

To study the technical feasibility and results of endovascular treatment of inflammatory abdominal aortic aneurysms (AAA). Prospective study. Seven patients underwent endovascular repair of an inflammatory AAA. Five patients (8 ureters) were treated with ureteric stents CT scans were obtained one year. The early technical success rate was 100%. Four ureters remained entrapped at one year. Partial regression of periaortic fibrosis was documented in three patients, while four patients showed no regression. Endovascular reconstruction of inflammatory abdominal aneurysms is technically feasible. Further study is warranted with regard to the evolution of the periaortic fibrosis and the possible benefits for patients with concomitant hydronephrosis.