Paraanastomotic aneurysms of the abdominal aorta: a 15-year experience review

Endovascular treatment of an anastomotic iliac pseudoaneurysm after surgical aortic repair using a Cardiatis multilayer stent

“…5 Regardless of the caliber, when a pseudoaneurysm occurs at the level of a vascular surgical anastomosis, treatment is always indicated. 5 Open surgical repair had been considered for a long time as the only possible treatment for patients with an iliac aneurysm.…”

The durability of endovascular repair of para-anastomotic aneurysms after previous open aortic reconstruction

“…[4][5][6][7][8] One report compared 16 open repairs with 10 EVPAR procedures in patients who were candidates for endovascular repair, showing higher morbidity and complication rates after open repair than after EVPAR. 24 Furthermore, blood loss, procedural time, and hospital length of stay were significantly reduced for EVPAR.…”

“…2,3 However, these open surgical reinterventions are technically challenging, with mortality rates of 8% to 70% and morbidity rates of 70% to 83%, which are considerably higher than the rates associated with primary prosthetic reconstructions. [4][5][6][7][8] Endovascular PAA repair (EVPAR) allows for local or regional anesthesia without requiring dissection through the scars of previous operations and might be preferred instead of repeated open repair. 9 Except for case reports, a few small case series have suggested that endovascular exclusion of noninfected PAAs after previous abdominal aortoiliac surgery is feasible, with low perioperative mortality and morbidity.…”

Suprarenal Clamping Is a Safe Method of Aortic Control when Infrarenal Clamping Is not Desirable

“…1 In this era of endovascular aneurysm repair, most straightforward aneurysms with adequate infrarenal necks are repaired with stent grafts. The traditional open method of repair is predominantly confined to juxtarenal or pararenal aneurysms.…”