Treatment of femoral pseudoaneurysms with endograft in high-risk patients.

Abstract

Anastomotic aneurysms are a late complication after arterial reconstruction. Current treatment usually consists of open repair but we describe our experience with endovascular repair of femoral pseudoaneurysms. Six patients with seven femoral pseudoaneurysms were treated with percutaneously inserted endografts. Control angiography confirmed immediate technical success in all cases. Exclusion of the para-anastomotic aneurysm was obtained in all cases. No major complications or postoperative mortality were observed. No occlusions of the endografts occurred and no endoleaks were noticed. Endovascular exclusion of femoral pseudoaneurysms is feasible and reliable. Long-term follow-up will demonstrate if this approach in selected patients is justified.