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股动脉假性动脉瘤:治疗中的一项挑战。

False aneurysms of the femoral artery: a challenge in management.

作者信息

Chavez C M

出版信息

Ann Surg. 1976 Jun;183(6):694-700. doi: 10.1097/00000658-197606000-00013.

DOI:10.1097/00000658-197606000-00013
PMID:135534
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1344280/
Abstract

Forty patients with aneurysms of the femoral arteries were evaluated. Thirty had 34 false aneurysms and 23 were secondary to disruption of the suture line of a graft-to-artery anastomosis. All the false aneurysms were found in association with a synthetic material used as a bypass or arterial substitute. No direct relationship was found between the suture material and the incidence of anastomotic aneurysms in this series. Infection associated with the development of a false aneurysm was followed by a high incidence of amputation. Various techniques of repair have been used to restore the flow and preserve the viability of the limb. Recommendations are made to decrease the incidence of this complication.

摘要

对40例股动脉瘤患者进行了评估。其中30例有34个假性动脉瘤,23个继发于移植血管与动脉吻合口缝线处破裂。所有假性动脉瘤均与用作旁路或动脉替代物的合成材料有关。在本系列中,未发现缝线材料与吻合口动脉瘤的发生率之间存在直接关系。与假性动脉瘤形成相关的感染后截肢发生率很高。已采用各种修复技术来恢复血流并保持肢体的存活能力。提出了降低该并发症发生率的建议。

相似文献

1
False aneurysms of the femoral artery: a challenge in management.股动脉假性动脉瘤:治疗中的一项挑战。
Ann Surg. 1976 Jun;183(6):694-700. doi: 10.1097/00000658-197606000-00013.
2
Suture material as a factor in the occurrence of anastomotic false aneurysms. An analysis of 26 cases.缝线材料作为吻合口假性动脉瘤发生的一个因素。26例病例分析。
Arch Surg. 1979 Apr;114(4):412-5. doi: 10.1001/archsurg.1979.01370280066009.
3
Pathogenesis of anastomotic aneurysms.吻合口动脉瘤的发病机制。
Surgery. 1981 Sep;90(3):509-15.
4
Femoral false aneurysms: a recommendation for the method of repair.股部假性动脉瘤:修复方法的建议
Aust N Z J Surg. 1988 May;58(5):377-80. doi: 10.1111/j.1445-2197.1988.tb01083.x.
5
Is compliance mismatch the major cause of anastomotic arterial aneurysms? Analysis of 42 cases.顺应性不匹配是吻合口动脉瘤的主要原因吗?42例病例分析。
J Cardiovasc Surg (Torino). 1985 Mar-Apr;26(2):147-50.
6
Anastomotic aneurysms of the femoral anastomosis after aortic bifurcation graft.主动脉分叉移植术后股动脉吻合口动脉瘤
Acta Chir Belg. 1977 May-Jun;76(3):341-5.
7
Anastomotic aneurysms following arterial grafting: A 10-year experience.动脉移植术后吻合口动脉瘤:十年经验
Ann Surg. 1976 Aug;184(2):179-82. doi: 10.1097/00000658-197608000-00008.
8
Recurrence of femoral anastomotic aneurysms.股动脉吻合口动脉瘤的复发
Am J Surg. 1983 Dec;146(6):774-8. doi: 10.1016/0002-9610(83)90339-2.
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Prolene sutures are not a significant factor in anastomotic false aneurysms.普理灵缝线并非吻合口假性动脉瘤的重要因素。
Am J Surg. 1983 Aug;146(2):216-9. doi: 10.1016/0002-9610(83)90376-8.
10
Uninfected false aneurysms after arterial reconstruction with prosthetic grafts.人工血管动脉重建术后的非感染性假性动脉瘤
Am J Surg. 1979 Dec;138(6):920-3. doi: 10.1016/0002-9610(79)90322-2.

引用本文的文献

1
Anastomotic arterial aneurysms. A continuing challenge.
Ann Surg. 1980 Nov;192(5):674-82. doi: 10.1097/00000658-198019250-00014.
2
Femoral anastomotic aneurysms.股动脉吻合口动脉瘤
Ann Surg. 1980 Jun;191(6):715-20. doi: 10.1097/00000658-198006000-00009.
3
Femoral anastomotic false aneurysms. An 11-year experience analyzed with a case control study.股动脉吻合口假性动脉瘤。一项病例对照研究分析的11年经验。
Ann Surg. 1984 Jun;199(6):703-9. doi: 10.1097/00000658-198406000-00008.
4
Progress in the treatment of anastomotic aneurysms.吻合口动脉瘤的治疗进展
World J Surg. 1988 Dec;12(6):742-9. doi: 10.1007/BF01655475.
5
Recurrent femoral anastomotic aneurysms. A 30-year experience.复发性股动脉吻合口动脉瘤。30年经验。
Ann Surg. 1988 Oct;208(4):401-9. doi: 10.1097/00000658-198810000-00002.

本文引用的文献

1
FALSE ANEURYSMS OCCURRING AFTER ARTERIAL GRAFTING OPERATIONS.动脉移植手术后发生的假性动脉瘤。
Am J Surg. 1965 Aug;110:153-61. doi: 10.1016/0002-9610(65)90006-1.
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FEMORAL ANEURYSMS. REVIEW OF SURGICAL MANAGEMENT.
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Arch Surg. 1967 Nov;95(5):802-9. doi: 10.1001/archsurg.1967.01330170110014.
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False aneurysms in the lower extremity.下肢假性动脉瘤
Surg Gynecol Obstet. 1967 Mar;124(3):562-6.
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Surgical management of complications to arterial puncture.动脉穿刺并发症的外科处理
Ann Surg. 1966 Dec;164(6):1021-6. doi: 10.1097/00000658-196612000-00011.
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False aneurysms complicating synthetic arterial reconstruction.人工血管重建术后并发的假性动脉瘤。
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Anastomotic aneurysms involving the femoral artery.
Mayo Clin Proc. 1972 May;47(5):313-7.
8
Late suture failure in the pathogenesis of anastomotic false aneurysms.吻合口假性动脉瘤发病机制中的晚期缝线失败。
Ann Surg. 1970 Dec;172(6):1064-8. doi: 10.1097/00000658-197012000-00022.
9
Infected arterial grafts: experince in 22 cases with empsis on unusual bactia and technics.感染性动脉移植物:22例罕见细菌感染及技术的经验
Ann Surg. 1970 May;171(5):704-14. doi: 10.1097/00000658-197005000-00009.
10
Management of recurrent post synthetic graft pseudo-aneurysms, using a free omental graft. A new method.使用游离网膜移植物治疗复发性人工血管假性动脉瘤。一种新方法。
Vasc Surg. 1973 Sep-Oct;7(4):188-96. doi: 10.1177/153857447300700403.