Sharma N K, Chin K F, Modgill V K
Department of General Surgery, Royal Halifax Infirmary, UK.
J R Coll Surg Edinb. 2001 Aug;46(4):195-7.
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.
股动脉吻合口动脉瘤的形成是股动脉手术后的主要并发症之一。本研究的目的是评估在一家区综合医院修复股动脉吻合口动脉瘤的方法及其结果。
对1977年至1998年间手术治疗的吻合口股动脉瘤进行回顾性连续队列研究。
共治疗12例患者，有19个假性动脉瘤。其中5个动脉瘤采用静脉补片修复，2个进行了吻合口重新缝合。12个动脉瘤采用间置移植物完全修复吻合口。间置移植物组无复发，而在采用重新缝合/静脉补片修复的7个动脉瘤中有2个复发。
间置移植物似乎是修复股动脉假性动脉瘤的首选方法，因为其结果优于重新缝合或使用补片闭合技术。
