Rabinovich Yefim, Klemperer Leigh Naama, Levi Yosef, Rubinstein Chen, Rosenthal Eyal, Sheick-Yousif Basheer
Department of Vascular Surgery, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
J Vasc Surg Cases Innov Tech. 2023 Apr 28;9(3):101199. doi: 10.1016/j.jvscit.2023.101199. eCollection 2023 Sep.
An infected pseudoaneurysm is a condition that has become more common in recent years, with the proliferation of endovascular intervention and the use of intravenous drugs. If left untreated, an infected pseudoaneurysm can progress to rupture, which can lead to life-threatening hemorrhage. No clear consensus has been reached among vascular surgeons regarding the management of infected pseudoaneurysms, and the literature describes a wide range of treatment techniques. In the present report, we describe an "out of the box" approach to infected pseudoaneurysms: a superficial femoral artery to deep femoral artery transposition, as an alternative to ligation with or without bypass reconstruction. We also describe our experience with six patients who underwent this procedure with 100% technical success and limb salvage rates. Although we implemented this technique for cases of infected pseudoaneurysms, we believe it can also be applied to other cases of femoral pseudoaneurysms when angioplasty or graft reconstruction is not feasible. However, further research with larger cohorts is warranted.
感染性假性动脉瘤是近年来变得更为常见的一种病症，这与血管内介入治疗的增多以及静脉药物的使用有关。如果不进行治疗，感染性假性动脉瘤可能会发展至破裂，进而导致危及生命的出血。血管外科医生对于感染性假性动脉瘤的治疗尚未达成明确的共识，并且文献中描述了各种各样的治疗技术。在本报告中，我们描述了一种针对感染性假性动脉瘤的“创新”方法：股浅动脉至股深动脉转位术，作为有或无旁路重建的结扎术的替代方法。我们还介绍了6例接受该手术患者的经验，技术成功率和肢体挽救率均为100%。尽管我们将此技术应用于感染性假性动脉瘤病例，但我们认为当血管成形术或移植物重建不可行时，它也可应用于其他股部假性动脉瘤病例。然而，需要对更大的队列进行进一步研究。
