Chiu R C, Ayeni O R, Stets J, Blundell P E, Mulder D S, Scott H J
Can J Surg. 1981 Mar;24(2):160-2.
Of 270 patients operated upon for aneurysm, 25 patients underwent repair for 28 iatrogenic false aneurysms. Of these, 67.9% were complications of vascular reconstructive surgery and 64.3% occurred at the groin. Iatrogenic false aneurysm was associated with various prosthetic and suture materials and in many the attenuation of host arterial wall appeared to play an important role. Newer invasive procedures, such as arterial infusion of chemotherapeutic agents, also lead to formation of iatrogenic false aneurysm. Infections, present in 50% of the author's series, and intra-abdominal iatrogenic false aneurysm, with abdominal viscera forming part of the aneurysmal wall, posed a technical challenge. Iatrogenic false aneurysm is a potentially grave complication since the mortality and limb loss were each 8% in this series.
在接受动脉瘤手术的270例患者中，25例患者因28例医源性假性动脉瘤而接受修复。其中，67.9%是血管重建手术的并发症，64.3%发生在腹股沟。医源性假性动脉瘤与各种假体和缝合材料有关，在许多情况下，宿主动脉壁的变薄似乎起了重要作用。较新的侵入性手术，如动脉内灌注化疗药物，也会导致医源性假性动脉瘤的形成。作者系列中有50%存在感染，腹腔内医源性假性动脉瘤（腹腔内脏器构成动脉瘤壁的一部分）带来了技术挑战。医源性假性动脉瘤是一种潜在的严重并发症，因为在该系列中死亡率和肢体缺失率均为8%。
