The changing face of femoral artery false aneurysms

M G A Norwood1, G M Lloyd, S Moore

  • 1Department of Surgery, Leicester Royal Infirmary, University of Leicester, UK.

Insights

Femoral artery false aneurysms are increasing due to more cardiac procedures. Ultrasound-guided thrombin injection significantly reduces hospital stays for these femoral artery false aneurysms.

Area of Science:

  • Vascular Surgery
  • Interventional Cardiology
  • Radiology

Background:

  • Femoral artery false aneurysms are a complication of vascular interventions.
  • The incidence of these aneurysms has been rising.
  • Understanding their causes and treatment is crucial for patient outcomes.

Purpose of the Study:

  • To review the causes and treatment methods for femoral artery false aneurysms.
  • To analyze trends in management over a nine-year period.
  • To evaluate the impact of new treatment modalities.

Main Methods:

  • Retrospective case-note study of patients diagnosed with false aneurysms.
  • Data collection on aneurysm location, cause, and repair method.
  • Analysis of patient medical history and hospital admission times.

Main Results:

  • 107 patients identified; 79 with femoral artery false aneurysms.
  • Coronary angiography was the most common cause (40.5%), followed by graft anastomosis breakdown (29.1%).
  • Radiological treatments, particularly ultrasound-guided thrombin injection, significantly reduced hospital admission time.

Conclusions:

  • The incidence of femoral artery false aneurysms is increasing, linked to cardiac interventional procedures.
  • Ultrasound-guided thrombin injection has proven effective in reducing inpatient stays.
  • This highlights the importance of minimally invasive techniques in managing vascular complications.
Abstract

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