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Development of a Murine Model for Femoral Artery Anastomotic Stenosis
Published on: April 18, 2025
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.
Objectives:
To review the aetiology and method of treatment of all femoral artery false aneurysms from a single centre during the last 9 years.
Design:
Retrospective case-note study.
Methods:
All patients with a diagnosis of false aneurysm were identified from the hospital data-base between January 1995 and September 2003. A manual search of the case-notes was performed, and data collected on the location, cause and method of repair of the false aneurysm. For all patients with a diagnosis of femoral artery false aneurysm, the patients' medical and drug history and admission time attributable to the false aneurysm were recorded.
Results:
One hundred and seven patients were identified. Seventy-nine had false aneurysms of the femoral artery. The majority (40.5%) were caused by coronary angiography, the second commonest cause being breakdown of previous graft anastomosis (29.1%). Over time, the method of treatment became increasingly radiological (most commonly ultrasound-guided thrombin injection), resulting in a significantly reduced hospital admission time (P=0.018).
Conclusions:
The incidence of femoral artery false aneurysms appears to be increasing. This is largely a result of an increase in the number of cardiac interventional and diagnostic procedures performed. The introduction of ultrasound-guided thrombin-injection has reduced the inpatient stay of patients with femoral false aneurysms.
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