Chinese Medical Sciences Journal ›› 2010, Vol. 25 ›› Issue (1): 57-60.doi: 10.1016/S1001-9294(10)60022-3

• Original Article • 上一篇    下一篇

Revascularization for Iliac-femoral Artery Pseudoaneurysm with Greater Saphenous Vein

Ji-dong Wu1; Yue-hong Zheng1; Nim Choi2; and Furtado Rui2   

  1. 1Department of Vascular Surgery; Peking Union Medical College Hospital; Chinese Academy of Medical Sciences & Peking Union Medical College; Beijing 100730; China 
    2Department of General Surgery; Cir Gen/Vas; Central Hospital Centre S. Januario; Macau; China
  • 出版日期:2010-03-10 发布日期:2010-03-10

Revascularization for Iliac-femoral Artery Pseudoaneurysm with Greater Saphenous Vein

Ji-dong Wu1; Yue-hong Zheng1; Nim Choi2; and Furtado Rui2   

  1. 1Department of Vascular Surgery; Peking Union Medical College Hospital; Chinese Academy of Medical Sciences & Peking Union Medical College; Beijing 100730; China 
    2Department of General Surgery; Cir Gen/Vas; Central Hospital Centre S. Januario; Macau; China
  • Online:2010-03-10 Published:2010-03-10

摘要: Objective To investigate the role of revascularization procedures with autologous greater saphenous vein in surgical management of iliac-femoral artery pseudoaneurysm in parenteral drug abusers. Methods Twenty-one patients with iliac-femoral artery pseudoaneurysm caused by parenteral drug abuse from 2004 to 2007 were enrolled. Among them,15 patients were male and 6 were female; their average age was 31.3 years. The size of pseudoaneurysms ranged from 3.0 cm to 7.5 cm. Common femoral artery and distal external iliac artery were often involved. We performed arterial reconstruction on these patients with autologous greater saphenous vein as a graft after excising iliac-femoral artery pseudoaneurysm through a single curved inguinal incision. All patients were followed up,and the complications were recorded. Results The surgical procedures were finished without intraoperative mortality or perioperative complications. All patients were free of claudication symptoms after the surgery except one case with preoperative popliteal artery stenosis. One case of infection and wound tissue fistula was found later. One case had inguinal incisional hematoma and another complained of numbness in thigh skin. Conclusions The use of autologous greater saphenous venous grafts for arterial reconstruction after pseudoaneurysm excision in drug abusers is safe and effective. This technique offers more advantages than arterial ligation alone without revascularization. An optimal greater saphenous venous graft is a prerequisite for revascularization.

关键词: pseudoaneurysm, drug abuser, bypass, greater saphenous vein

Abstract: Objective To investigate the role of revascularization procedures with autologous greater saphenous vein in surgical management of iliac-femoral artery pseudoaneurysm in parenteral drug abusers. Methods Twenty-one patients with iliac-femoral artery pseudoaneurysm caused by parenteral drug abuse from 2004 to 2007 were enrolled. Among them,15 patients were male and 6 were female; their average age was 31.3 years. The size of pseudoaneurysms ranged from 3.0 cm to 7.5 cm. Common femoral artery and distal external iliac artery were often involved. We performed arterial reconstruction on these patients with autologous greater saphenous vein as a graft after excising iliac-femoral artery pseudoaneurysm through a single curved inguinal incision. All patients were followed up,and the complications were recorded. Results The surgical procedures were finished without intraoperative mortality or perioperative complications. All patients were free of claudication symptoms after the surgery except one case with preoperative popliteal artery stenosis. One case of infection and wound tissue fistula was found later. One case had inguinal incisional hematoma and another complained of numbness in thigh skin. Conclusions The use of autologous greater saphenous venous grafts for arterial reconstruction after pseudoaneurysm excision in drug abusers is safe and effective. This technique offers more advantages than arterial ligation alone without revascularization. An optimal greater saphenous venous graft is a prerequisite for revascularization.

Key words: pseudoaneurysm, drug abuser, bypass, greater saphenous vein

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