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Resolved Abdominal Aortic Aneurysms Following Stent Graft Treatment: A Report of Five Cases

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Abstract

Complete aneurysm resolution is the hallmark of successful endoluminal stent-graft treatment. We describe 5 patients in whom an abdominal aortic aneurysm (AAA) disappeared completely at mid-term follow-up after endovascular stent-graft placement. We reviewed 45 patients (43 men and 2 women) who underwent AAA repair using an endovascular technique, from April 1997 to December 2001. Mean AAA diameter was 58.3 mm. On 48-month follow-up, 12 aneurysms had not changed in size, 4 had grown, 16 had shrunk, and 5 had resolved completely. We describe these 5 patients in detail. The 5 patients were all men, mean age 68 years; their mean aneurysmal sac diameter was 54 mm. The only common finding in all of them was patency of lumbar and inferior mesenteric arteries at pre-procedure evaluation as well as at follow-up. Mean time to complete resolution was 18 months. No major complications were encountered. AAA may resolve completely after endovascular stent-graft implantation. Patent side branches may perhaps contribute to AAA disappearance by antegrade flow. A larger patient population should be reviewed, however, before any statistical conclusion can be drawn.

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Acknowledgements

We thank Prof M. Hertz M.D. for her help with manuscript preparation.

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Authors and Affiliations

  1. Departments of Diagnostic Radiology, Chaim Sheba Medical Center, affiliated with Tel-Aviv University Sackler School of Medicine, Tel-Aviv Tel-Hashomer 52621, Israel

    Uri Rimon, Alexander Garniek, Gil Golan, Paul Bensaid & Benyamina Morag

  2. Vascular Surgery, Chaim Sheba Medical Center, affiliated with Tel-Aviv University Sackler School of Medicine, Tel-Aviv Tel-Hashomer 52621, Israel

    Yair Galili & Jacob Schneiderman

Authors
  1. Uri Rimon
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  2. Alexander Garniek
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  3. Gil Golan
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  4. Paul Bensaid
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  5. Yair Galili
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  6. Jacob Schneiderman
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  7. Benyamina Morag
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Rimon, U., Garniek, A., Golan, G. et al. Resolved Abdominal Aortic Aneurysms Following Stent Graft Treatment: A Report of Five Cases . CVIR 27, 143–147 (2004). https://doi.org/10.1007/s00270-003-2708-8

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  • DOI: https://doi.org/10.1007/s00270-003-2708-8

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