# Endovascular repair of renal artery anastomotic pseudoaneurysm following thoracoabdominal graft replacement

## TL;DR

This paper describes a successful endovascular repair of a rare kidney artery complication in an elderly patient who couldn't undergo major surgery.

## Contribution

The novel approach uses a minimally invasive endovascular technique for treating a high-risk patient with a renal artery pseudoaneurysm.

## Key findings

- Endovascular repair with a stent graft and coils successfully treated a renal artery anastomotic pseudoaneurysm.
- The procedure was suitable for a high-grade frailty patient who was not a candidate for invasive surgery.
- This case demonstrates a less invasive alternative to traditional surgical repair for this rare complication.

## Abstract

Anastomotic pseudoaneurysm following thoracoabdominal graft replacement is a rare but potentially life-threatening complication. Although surgical repair remains the definitive treatment, it is often significantly more invasive than the initial procedure owing to extensive tissue adhesion. Patients with severe frailty are generally not considered suitable candidates for such highly invasive interventions. We present a successful case of endovascular repair of a right renal artery anastomotic pseudoaneurysm using a small-diameter stent graft and coils in an elderly patient with high-grade frailty.