Surgical Treatment of Infected Femoral Artery Pseudoaneurysm_CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Authors：

ZHENG Jianghua , CHEN Kai , WU Guo , DAI Yi.

Department of Vascular Surgery, Affiliated Hospital, North Sichuan Medical College, Nanchong 637000, Sichuan Province, ChinaCorresponding Author: ZHENG Jiang-hua, E-mail: zhengjianghua@126.com;

Corresponding author：

Keywords：

Pseudoaneurysm; Femoral artery; Vascular prosthesis; Bypass graft; Surgical treatment

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Objective 　To evaluate surgical treatment of infected femoral artery pseudoaneurysm.
Methods 　The data on surgical treatment of 45 patients with infected femoral artery pseudoaneurysm admitted from January 2003 to June 2008 were analyzed retrospectively. Fourty-three patients underwent operative treatment including excision of infected femoral artery pseudoaneurysm, exhaustive debridement and bypass graft with vascular prosthesis. Two patients were unavoidable to undergo removing of infected femoral artery pseudoaneurysm and ligating the proximal and distal artery of pseudoaneurysm because of severe infection and large volume.
Results 　The patients were followed up from 3 to 12 months (mean 7.82 months). The limbs of all the patients underwent bypass graft with vascular prosthesis were salvaged successfully, patients of which had secondary wound healing and had not intermittent lameness. One of two patients performed ligation of artery was salvaged successfully but had severe intermittent lameness, another patient underwent high amputation above knee because of ischemic gangrene.
Conclusion 　For infected femoral artery pseudoaneurysm, the operative treatment including excision of infected femoral artery pseudoaneurysm, exhaustive debridement and bypass graft with vascular prosthesis is effective and safe.

Citation： ZHENG Jianghua,CHEN Kai,WU Guo,DAI Yi.. Surgical Treatment of Infected Femoral Artery Pseudoaneurysm. CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY, 2009, 16(4): 296-299. doi: Copy

1.	Tsao JW, Marder SR, Goldstone J, et al. Presentation, diagnosis, and management of arterial mycotic pseudoaneurysms in injection drug users [Ｊ]. Ann Vasc Surg, 2002; 16(5): 652-662.
2.	李建文, 王三明, 陈小东. 结扎股动脉治疗注射毒品所致假性股动脉瘤体会 [Ｊ]. 广东药学院学报， 2004; 20(3): 314-315.
3.	唐培志, 杨闻晓. 髂外动脉结扎治疗毒品注射致感染性假性股动脉瘤 [Ｊ]. 临床外科杂志, 2007; 15(4): 284-285.
4.	吴壮宏, 王深明, 李晓曦, 等. 注射海洛因致感染性假性动脉瘤外科治疗 [Ｊ]. 中国普通外科杂志, 2001; 10(6): 543-545.
5.	赖东明, 黎洪浩, 龙淼云, 等. 注射毒品所致假性股动脉瘤的外科治疗（附12例病例分析） [Ｊ]. 岭南现代临床外科, 2008; 8(1): 48-50.
6.	林世磅, 余东, 李润祥, 等. 注射毒品引起假性股动脉瘤的外科治疗(附11 例报告) [Ｊ]. 现代医院, 2005; 5(2): 21-22.
7.	Salimi J, Shojaeefar A, Khashayar P. Management of infected femoral pseudoaneurysms in intravenous drug abusers: a review of 57 cases [Ｊ]. Arch Med Res, 2008; 39(1): 120-124.
8.	谭龙, 王聪, 高文山, 等. 毒品注射致假性股动脉瘤破裂的血管修复 [Ｊ]. 中国修复重建外科杂志, 2007; 21(7): 782-783.
9.	方伟, 郭曙光, 陈翠菊, 等. 毒品注射致假性动脉瘤急性破裂出血的处理经验 [Ｊ]. 中国普外基础与临床杂志, 2006; 13(4): 254-255.
10.	陈小东, 李建文, 鲁珏, 等. 注射毒品所致假性动脉瘤18 例的外科治疗 [Ｊ]. 中华普通外科杂志, 2002; 17(7): 434-435.
11.	梁启燕, 李建文, 王三明. 人造血管在假性股动脉瘤血管重建中的应用体会 [Ｊ]. 广东医学院学报, 2003; 21(2): 167-168.
12.	赵成利, 邓国三, 黄广香, 等. 注射吸毒致假性股动脉瘤的修复重建 [Ｊ]. 中国修复重建外科杂志, 2007; 21(7): 679-681.
13.	Naqi SA, Khan HM, Akhtar S, et al. Femoral pseudoaneurysm in drug addicts-excision without revascularization is a viable option [Ｊ]. Eur J Vasc Endovasc Surg, 2006; 31(6): 585-587.
14.	Arora S, Weber MA, Fox CJ, et al. Common femoral artery ligation and local debridement: a safe treatment for infected femoral artery pseudoaneurysms [Ｊ]. J Vasc Surg, 2001; 33(5): 990-994.
15.	Ting AC, Cheng SW. Femoral pseudoaneurysms in drug addicts [Ｊ]. World J Surg, 1997; 21(8): 783-784.
16.	李晓曦, 李松奇, 胡作军, 等. 感染性假性股动脉瘤61例治疗分析 [Ｊ]. 中国实用外科杂志, 2007; 27(7): 531-533.
17.	Kaiser MM, Kujath P, Muller G, et al. Treatment strategy in inguinal injection abscess and complications [Ｊ]. Chirurg, 1997; 68(10): 1029-1034.
18.	Matoussevitch V, Aleksic M, Gawenda M, et al. Primary extraanatomical revascularization for groin infections in drug addicts [Ｊ]. Vasa, 2007; 36(3): 210-214.
19.	倪良宏, 郭劲松, 唐军建, 等. 四肢动脉损伤诊治体会 [Ｊ]. 中国普外基础与临床杂志, 2007; 14(6): 705-706.
20.	钟武, 何延政, 龙汉安, 等. 注射毒品致感染性股动脉假性动脉瘤35 例血管修复体会 [Ｊ]. 中国医药导报, 2008; 5(23): 37-38.
21.	赵为国, 王俊. 注射毒品致感染性股动脉假性动脉瘤的外科治疗 [Ｊ]. 临床外科杂志, 2008; 16(6): 416-417.
22.	赵渝, 时德. 感染性动脉瘤的诊治 [Ｊ]. 中国普外基础与临床杂志, 2004; 11(4): 286-287.
23.	Schulz S, Beckenbach C, Philipp M, et al. Color coded duplex sonography of inguinal vessels in i.v. drug addicts[Ｊ]. Vasa, 2002; 31(1): 7-13.
24.	McCready RA, Bryant MA, Divelbiss JL, et al. Arterial infections in the new millenium: an old problem revisited　 [Ｊ]. Ann Vasc Surg, 2006; 20(5): 590-595.
25.	Bell CL, Ali AT, Brawley JG, et al. Arterial reconstruction of infected femoral artery pseudoaneurysms using superficial femoral-popliteal vein [Ｊ]. J Am Coll Surg, 2005; 200(6): 831-836.
26.	常光其, 王深明, 李晓曦, 等. 注射毒品所致假性股动脉瘤的外科治疗 [Ｊ]. 中国实用外科杂志, 2001; 21(9): 542-543.

1. Tsao JW, Marder SR, Goldstone J, et al. Presentation, diagnosis, and management of arterial mycotic pseudoaneurysms in injection drug users [Ｊ]. Ann Vasc Surg, 2002; 16(5): 652-662.
2. 李建文, 王三明, 陈小东. 结扎股动脉治疗注射毒品所致假性股动脉瘤体会 [Ｊ]. 广东药学院学报， 2004; 20(3): 314-315.
3. 唐培志, 杨闻晓. 髂外动脉结扎治疗毒品注射致感染性假性股动脉瘤 [Ｊ]. 临床外科杂志, 2007; 15(4): 284-285.
4. 吴壮宏, 王深明, 李晓曦, 等. 注射海洛因致感染性假性动脉瘤外科治疗 [Ｊ]. 中国普通外科杂志, 2001; 10(6): 543-545.
5. 赖东明, 黎洪浩, 龙淼云, 等. 注射毒品所致假性股动脉瘤的外科治疗（附12例病例分析） [Ｊ]. 岭南现代临床外科, 2008; 8(1): 48-50.
6. 林世磅, 余东, 李润祥, 等. 注射毒品引起假性股动脉瘤的外科治疗(附11 例报告) [Ｊ]. 现代医院, 2005; 5(2): 21-22.
7. Salimi J, Shojaeefar A, Khashayar P. Management of infected femoral pseudoaneurysms in intravenous drug abusers: a review of 57 cases [Ｊ]. Arch Med Res, 2008; 39(1): 120-124.
8. 谭龙, 王聪, 高文山, 等. 毒品注射致假性股动脉瘤破裂的血管修复 [Ｊ]. 中国修复重建外科杂志, 2007; 21(7): 782-783.
9. 方伟, 郭曙光, 陈翠菊, 等. 毒品注射致假性动脉瘤急性破裂出血的处理经验 [Ｊ]. 中国普外基础与临床杂志, 2006; 13(4): 254-255.
10. 陈小东, 李建文, 鲁珏, 等. 注射毒品所致假性动脉瘤18 例的外科治疗 [Ｊ]. 中华普通外科杂志, 2002; 17(7): 434-435.
11. 梁启燕, 李建文, 王三明. 人造血管在假性股动脉瘤血管重建中的应用体会 [Ｊ]. 广东医学院学报, 2003; 21(2): 167-168.
12. 赵成利, 邓国三, 黄广香, 等. 注射吸毒致假性股动脉瘤的修复重建 [Ｊ]. 中国修复重建外科杂志, 2007; 21(7): 679-681.
13. Naqi SA, Khan HM, Akhtar S, et al. Femoral pseudoaneurysm in drug addicts-excision without revascularization is a viable option [Ｊ]. Eur J Vasc Endovasc Surg, 2006; 31(6): 585-587.
14. Arora S, Weber MA, Fox CJ, et al. Common femoral artery ligation and local debridement: a safe treatment for infected femoral artery pseudoaneurysms [Ｊ]. J Vasc Surg, 2001; 33(5): 990-994.
15. Ting AC, Cheng SW. Femoral pseudoaneurysms in drug addicts [Ｊ]. World J Surg, 1997; 21(8): 783-784.
16. 李晓曦, 李松奇, 胡作军, 等. 感染性假性股动脉瘤61例治疗分析 [Ｊ]. 中国实用外科杂志, 2007; 27(7): 531-533.
17. Kaiser MM, Kujath P, Muller G, et al. Treatment strategy in inguinal injection abscess and complications [Ｊ]. Chirurg, 1997; 68(10): 1029-1034.
18. Matoussevitch V, Aleksic M, Gawenda M, et al. Primary extraanatomical revascularization for groin infections in drug addicts [Ｊ]. Vasa, 2007; 36(3): 210-214.
19. 倪良宏, 郭劲松, 唐军建, 等. 四肢动脉损伤诊治体会 [Ｊ]. 中国普外基础与临床杂志, 2007; 14(6): 705-706.
20. 钟武, 何延政, 龙汉安, 等. 注射毒品致感染性股动脉假性动脉瘤35 例血管修复体会 [Ｊ]. 中国医药导报, 2008; 5(23): 37-38.
21. 赵为国, 王俊. 注射毒品致感染性股动脉假性动脉瘤的外科治疗 [Ｊ]. 临床外科杂志, 2008; 16(6): 416-417.
22. 赵渝, 时德. 感染性动脉瘤的诊治 [Ｊ]. 中国普外基础与临床杂志, 2004; 11(4): 286-287.
23. Schulz S, Beckenbach C, Philipp M, et al. Color coded duplex sonography of inguinal vessels in i.v. drug addicts[Ｊ]. Vasa, 2002; 31(1): 7-13.
24. McCready RA, Bryant MA, Divelbiss JL, et al. Arterial infections in the new millenium: an old problem revisited　 [Ｊ]. Ann Vasc Surg, 2006; 20(5): 590-595.
25. Bell CL, Ali AT, Brawley JG, et al. Arterial reconstruction of infected femoral artery pseudoaneurysms using superficial femoral-popliteal vein [Ｊ]. J Am Coll Surg, 2005; 200(6): 831-836.
26. 常光其, 王深明, 李晓曦, 等. 注射毒品所致假性股动脉瘤的外科治疗 [Ｊ]. 中国实用外科杂志, 2001; 21(9): 542-543.

CHINESE JOURNAL OF BASES AND CLINICS IN GENERAL SURGERY

Surgical Treatment of Infected Femoral Artery Pseudoaneurysm

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