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Management of children with chronic femoral artery obstruction

I B Kern

    Journal of Pediatric Surgery
    |February 1, 1977
    PubMed

    Insights

    Chronic femoral artery obstruction in children, often from medical procedures, can be treated with bypass grafts. Surgical intervention showed good results in most cases, improving limb function.

    Area of Science:

    • Vascular Surgery
    • Pediatric Cardiology
    • Interventional Radiology

    Background:

    • Chronic femoral artery obstruction in children is a known complication of procedures like cardiac catheterization and umbilical artery catheterization.
    • This condition can lead to significant lower limb issues, impacting growth and mobility.

    Observation:

    • The study reviewed 22 pediatric cases of chronic femoral artery obstruction, with 7 requiring surgical intervention.
    • Indications for surgery included claudication, muscle wasting, and limb length discrepancy.

    Findings:

    • Diagnosis was confirmed using Doppler ultrasound and contralateral femoral angiography to visualize abnormal vascular anatomy.
    • Seven bypass grafts were performed: 4 ilio-femoral, 2 femo-femoral, and 1 femoro-popliteal, using the long saphenous vein.
    • Five of the seven bypass grafts were successful, while two thrombosed.

    Implications:

    • Surgical bypass grafting is a viable treatment option for pediatric chronic femoral artery obstruction.
    • Further research may focus on improving graft patency rates and long-term outcomes in pediatric patients.

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