Femoral anastomotic aneurysms: pathogenic factors, clinical presentations and treatment. A study of 142 cases

Demarche, Martine

doi:10.1016/s0967-2109(98)00161-6

Cited by 31 publications

(34 citation statements)

References 9 publications

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“…In our patients, prosthesis infection was observed in 18 cases (22.8%). Demarche et al (13) analyzing a group of 142 patients confirmed that the dominant symptom in 28 cases with anastomotic aneurysm was acute limb ischemia caused by peripheral embolism or aneurysm sack thrombosis. The authors observed acute limb ischemia in 4 patients (5.1%), and those patients had an anastomotic aneurysm thrombosis.…”

Section: Discussionmentioning

confidence: 98%

“…In a research study, this kind of dependence is described by the proportion between the number of anastomotic aneurysms and the number of patients. Demarche et al (13) analyzed 142 aneurysms in 112 patients. Ylonen et al (10) described 28 aneurysms in 19 patients, and Madiba et al (14) described 25 aneurysms in 23 patients.…”

Section: Discussionmentioning

confidence: 99%

“…Relapse of anastomotic aneurysms is a very complicated clinical problem, because the surgeon has to operate in the postoperative scar with no possibility of recognizing anatomical structures. The frequency of recurrence of anastomotic aneurysms is estimated to be from 10.7% to 11.9% (13,16). In the author's center, the recurrence rate was 15.2%.…”

Section: Discussionmentioning

confidence: 99%

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Anastomotic Aneurysms in the Groin - Results of Surgical Treatment

Pogorzelski¹,

Wołoszko²,

M³

et al. 2007

Polish Journal of Surgery

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The aim of the study. The authors introduce single-center results of surgical treatment of 84 aneurysms in 79 patients. Anastomotic aneurysms belong to group of pseudoaneurysms which appear in places after vascular anastomosis. The most common location of this kind of pseudoaneurysm is the groin (85%). The next most common location is the proximal anastomotic place with the aorta or iliac common artery (12%), which constitutes from 1 to 5% of all vascular abnormalities. Usually, these need to be surgically treated. Material and methods. The authors present surgical treatment results of 79 patients with 84 pseudoaneurysms: 10 women (12.7%) and 69 men (87.3%) ranging in age from 44 to 81 years old, with an average age of 64.7 years old. The frequency of this pathology in all patients with vascular diseases treated in our Department was 1.6% and 7.7% in patients after surgical anastomosis in the groin. Eleven patients (13.9%) with aneurysm rupture and four (5.1%) with thrombosis and acute ischemia of the lower limb needed an emergency operation. The remaining 64 patients (81%) were operated on according to the plan. The most common operations were: vascular by -pass, secondary suture of anastomosis, and covering the lost part of the anastomosis with a patch. This treatment was used in 66 cases (84.5%), and 18 patients (22.8%) needed early secondary operation. 18 patients (22.8%) had a vascular prosthesis infection. Results. A good treatment result of anastomotic aneurysms was observed in 64 patients (81%). In 10 cases (12.7%), amputation was needed due to lack of blood recirculation in the limbs. Five patients died because of MODS due to vascular prosthesis infection. Conclusions. 1. The most important complication resulting in surgical treatment failure is vascular prosthesis infection and the progress of peripheral arteriosclerosis. 2. Distant vascular anastomosis dehiscence may show that the anastomosis was done using too much tension or that there were dakron physicochemical changes due to the aging process.

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Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Anastomotic Aneurysms in the Groin - Results of Surgical Treatment

Pogorzelski¹,

Wołoszko²,

M³

et al. 2007

Polish Journal of Surgery

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“…Demarche and colleagues describe their experience with 142 femoral anastomotic aneurysms [106]. 64% were presented as an asymptomatic pulsatile mass, 19% presented with acute limb ischemia, 9% presented as a painful groin mass, 7% presented with acute hemorrhage, two patients (1%) presented with distal microemboli and limb edema.…”

Section: Natural History and Treatmentmentioning

confidence: 99%

False Aneurysms

Banzi¹,

Davidovi²,

Radmili³

et al. 2012

Aneurysm

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“…Although all anastomotic sites may be involved, the femoral artery is far more vulnerable with an incidence ranging from 0.5% to 23.7%. 1,2 Rupture of anastomotic femoral artery pseudoaneurysms (AFAPs) represents a limb and life threatening condition that occurs most commonly in the presence of infection and requires emergency intervention. 1 Traditional management consists of open surgery with aneurysm excision and arterial flow restoration.…”

mentioning

confidence: 99%