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

INTRODUCTION: 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. REPORT: 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. DISCUSSION: Endovascular exclusion of femoral pseudoaneurysms is feasible and reliable. Long-term follow-up will demonstrate if this approach in selected patients is justified.