Treatment of peripheral vascular pseudoaneurysm

Abstract

Objective To investigate the treatment of peripheral vascular pseudo-vascular aneurysm.Methods 45 cases with peripheral vascular pseudoaneurysm were admired in our hospital from March 2009 to February 2012.32 patients were implanted stent(6 cases of iliac artery,13 cases of femoral artery,three cases of axillary artery,two cases of carotid artery,three cases of popliteal artery,one case of brachial artery,three cases of anterior tibial artery,one case of radial artery).Four cases were treated by ultrasound-guided thrombin injection (one case of deep femoral artery,one case of brachial artery distal end,two case of femoral artery).Nine cases received surgical treatment (including one case of stent failure).One case of deep femoral pseudoaneurysm with coil embolization.Results 45 cases of pseudo-vascular aneurysms were closed after various methods of treatment.32 cases were placed sent implantation,31 cases of limb trunk artery pseudoaneurysm were completely isolated and the distal arterial pulse completely normal.One patient with iliac artery stent migration after stent implantation was diverted surgical resection of the aneurysm graft replacement.One case was followed up for 8 months after stent implantation found thrombosis.Four cases of patiensts with intratumoral thrombosis after thrombin injection,there was no recurrence.9 cases of surgery patients restored to good blood flow.One case of deep femoral pseudoaneurysm with the coil embolization had a good result.Conclusion The treatment of peripheral pseudoaneurysm should be based on the occurrence site and select the appropriate treatment in order to improve the therapeutic effect. Key words: Pseudoaneurysm; Bracket; Embolism; Surgery; Contained aneurysm