[False prosthetic aneurysms. Evaluation of etiologic factors]

There is a need for new evaluation of anastomotic aneurysms with increasing use of prosthetic material in aortoiliac reconstructive surgery. 503 lower extremity revascularisations performed between 1972 and 1978 were reviewed. 20 false aneurysms complication of synthetic grafts, operated on from 1972 to 1981 were analysed. A retrospective study on the aorto-iliofemoral prosthesis group (N = 97) was enable to compare patients with and without false aneurysm occurrence with an average follow up of 5 years (3 to 9 years). The management of false aneurysm is discussed. This study suggest that most important etiologic factors are the vascular pattern just below the revascularisation, the anastomotic level, an iterative intervention. Extensive reconstructive procedures on the anastomosis level should be avoided. On the other hand choice of anastomotic procedure (termino-terminal versus latero-lateral anastomosis) and HTA seems to have no deleterious in spite of the findings of other authors.