Abstract
Anastomotic pseudoaneurysms are common entities following vascular bypass procedures and, if left untreated, serious complications such as thromboses, infection, and rupture can frequently occur. Therefore, attempts to employ various methods of repair have been utilized in treating anastomotic pseudoaneurysms to maximize operational success and future risk reduction. Herein, the authors report two cases of anastomotic pseudoaneurysms which were repaired percutaneously utilizing a combination of strategies such as careful preoperational image planning, multiple commercially available devices, and secondary embolization techniques.
Highlights
Anastomotic pseudoaneurysms most commonly arise from late disruptions of arterial gra anastomoses and are rare complications associated with arterial bypass procedures
Current studies have theorized that this is due to turbulent blood ow that progressively weakens the arterial wall of end-to-side anastomoses promoting the development of anastomotic leaks [3]
Further PTA to expand and dilate the most cephalad iCast stent gra was performed with 14 mm balloon catheter, with angiography showing non lling of the aPSA (Figure 2(d))
Summary
Percutaneous Stent-Graft Repair of Anastomotic Pseudoaneurysms following Vascular Bypass Procedures: A Report of Two Cases. Anastomotic pseudoaneurysms are common entities following vascular bypass procedures and, if le untreated, serious complications such as thromboses, infection, and rupture can frequently occur. Erefore, attempts to employ various methods of repair have been utilized in treating anastomotic pseudoaneurysms to maximize operational success and future risk reduction. The authors report two cases of anastomotic pseudoaneurysms which were repaired percutaneously utilizing a combination of strategies such as careful preoperational image planning, multiple commercially available devices, and secondary embolization techniques
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