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Iatrogenic false aneurysms

R C Chiu, O R Ayeni, J Stets

    Canadian Journal of Surgery. Journal Canadien De Chirurgie
    |March 1, 1981
    PubMed
    Summary
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    Iatrogenic false aneurysms, often arising from vascular reconstructive surgery, pose significant risks. Prompt diagnosis and management are crucial due to potential mortality and limb loss.

    Area of Science:

    • Vascular Surgery
    • Surgical Complications

    Background:

    • Iatrogenic false aneurysms are a recognized complication following surgical interventions.
    • These can arise from various procedures, including vascular reconstructive surgery and newer minimally invasive techniques.

    Purpose of the Study:

    • To analyze the incidence, causes, and outcomes of iatrogenic false aneurysms in patients undergoing aneurysm repair.
    • To highlight the challenges associated with managing complex cases, including infected and intra-abdominal false aneurysms.

    Main Methods:

    • Retrospective review of 270 patients operated upon for aneurysm.
    • Analysis of 28 cases of iatrogenic false aneurysms, detailing their etiology, location, and associated factors.

    Main Results:

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  • 25 patients (9.3% of total) had 28 iatrogenic false aneurysms.
  • 67.9% were complications of vascular reconstructive surgery, with 64.3% occurring in the groin.
  • Infections were present in 50% of cases; mortality and limb loss rates were both 8%.

    • Conclusions:

    • Iatrogenic false aneurysms are a serious complication, frequently linked to vascular reconstructive surgery and prosthetic materials.
    • Factors such as arterial wall attenuation and infection contribute to their development and complexity.
    • Management of these aneurysms presents technical challenges, with significant associated morbidity and mortality.