Surgical treatment of traumatic lower limb pseudoaneurysm / 中华创伤杂志(英文版)

ABSTRACT

<p><b>OBJECTIVE</b>To summarize our experience in surgical treatment of traumatic lower limb pseudoaneurysm.</p><p><b>METHODS</b>Twenty patients with traumatic lower limb pseudoaneurysm were surgically treated in our department from January 2007 to January 2012. The treatment protocols included interventional covered-stent placement (10 cases), spring coil embolization (2 cases), and surgical operation (8 cases). Surgical operations included pseudoaneurysm repair (2 cases), autologous-vein transplantation (1 case), and artificial-vessel bypass graft (5 cases).</p><p><b>RESULTS</b>All the patients were successfully treated without aggravating lower limb ischemia. Pseudoaneurysm disappeared after treatment. A surgical operation is suitable to most pseudoaneurysms, but its damage is relatively obvious and usually leads to more bleeding. It also requires a longer operating time. Compared to a surgical operation, interventional therapy is less traumatic and patients usually have a quicker recovery (P<0.05). All patients were followed up once per month for 12-36 months by color Doppler ultrasound examination. There were no cases of pseudoaneurysm recurrence.</p><p><b>CONCLUSION</b>Both surgical operation and interventional therapy are safe and effective in the treatment of pseudoaneurysm.</p>