Anastomotic Pseudoaneurysms: Our Experience with 49 Cases

Hybrid repair of ruptured infected anastomotic femoral pseudoaneurysms: Emergent stent-graft implantation and secondary surgical debridement

“…1 It is generally accepted that these complications are unusual if the pseudoaneurysm is asymptomatic or less than 2 cm in diameter. 3 In infectious contexts, however, rupture occurs with an increased incidence. 1 Indications for repair include rapid expansion, infection, skin or soft tissue necrosis, distal ischemia, pain, or rupture.…”

“…However, this approach has a mortality rate up to 20% in cases of infection 2 that is even higher in emergency arterial reconstructions due to rupture. 3 Endovascular therapy with stent-grafts, although extensively applied in several vascular diseases, has been scarcely documented in the treatment of ruptured infected anastomotic pseudoaneurysms. 4,5 However, such a treatment may be advantageous especially in surgical high-risk patients requiring urgent intervention.…”

Iatrogenic Pseudoaneurysms

“…These are typically the complications of prior surgery (vascular or non-vascular) or endovascular intervention of arterial or venous pathologies. [18][19][20][21] Patients with visceral iatrogenic pseudoaneurysms may remain chronically asymptomatic with detection only after investigation for other complaints. Alternatively, presentation may be with local compressive symptoms, or even rupture.…”

Mistaken Identity of Popliteal Artery Pseudoaneurysm for Deep Vein Thrombosis: a Case Report

“…Other causes include: a slow anastomotic leak in arterial bypass grafts [3] and dialysis access fistulae, arterial wall infections, following an overaggressive endarterectomy [4], intravenous drug abuse [5], blunt trauma [6], penetrating injury [7,8] and following traumatic fracture, fracture fixation and joint replacement surgery [9,10].…”