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Prospective data analysis shows successful stent graft repair of para-anastomotic aneurysms with zero morbidity or mortality, suggesting a promising alternative to repeat open surgery.
Objective: to describe the procedure and outcome of stent graft repair of para-anastomotic aneurysms (PAA) in the aorta and iliac vessels occurring after conventional open surgery for aortic aneurysm and occlusive disease.Design : analysis of prospectively collected data. Methods and results: five patients (age: 60–75 years) developed six para-anastomotic aneurysms after open surgery for abdominal aortic aneurysm or aorto-iliac occlusive disease. The PAAs were asymptomatic (average diameter 43 mm) and occurred either in the aorta (3) or iliac (3) vessels after an interval of 4–14 years. The PAAs were treated successfully in all cases, with no morbidity or mortality being observed.Conclusions : the technical success of the procedure is promising. If intermediate and long-lasting follow-up demonstrate durable results, stent graft repair will become the therapy of choice in the treatment of PAAs.
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Gawenda et al. (2002) studied this question.
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