Pseudoaneurysms of the femoral artery: recommendation for a method of repair
Sharma, N.K.; Chin, K.F.; Modgill, V.K.
Journal of the Royal College of Surgeons of Edinburgh 46(4): 195-197
2001
ISSN/ISBN: 0035-8835 PMID: 11523708 Document Number: 536835
Formation of an anastomotic aneurysm in the femoral artery is one of the major complications after femoral artery surgery. The aim of this study was to assess the method of repair of femoral anastomotic aneurysms and their outcome in a District General Hospital. A retrospective consecutive cohort of anastomotic femoral aneurysms, operated between 1977 and 1998, were studied. Twelve patients with a total of 19 pseudoaneurysms were treated. Five of the aneurysms were repaired using a vein patch and two had re-suturing of the anastomosis. Twelve aneurysms were repaired with complete revision of the anastomoses using interposition grafts. There were no recurrences in the interposition graft group whilst two recurred in the seven aneurysms repaired using re-suturing/vein patch. Interposition grafting would appear to be the method of choice for repair of femoral pseudoaneurysms as the outcome was better than that with re-suturing or using a patch closure technique.