EN
TR
Our experience of the pseudoaneurism and true aneurisms in periferic arteries
Abstract
Aim. Peripheral arterial aneurysms are frequently encountered due to increased incidence of
arteriosclerosis and common use of invasive methods for the diagnostic and therapeutic purposes.
The aim of this report is to evaluate preoperative features of peripheral arterial aneurisms operated
at our clinic and their surgical results retrospectively. Methods. 35 peripheral arterial aneurysm
cases diagnosed and operated at our clinic between the years of 1999-2008 and they were
retrospectively evaluated. Results. Acute and chronic ischemia of the extremities were determined
in 12 cases (34.3%). True aneurysms were seen in 12 (34.3%) cases (more than one aneurysm in
one case). Pseudo-aneurysms were seen in 23 (65.7%) cases. Frequent causes for true and pseudoaneurysms were arteriosclerosis and iatrogenic factors. Frequent localization of the 26 (74.2%)
aneurysms were the femoral and popliteal arteries. It was noted that, aneurysmectomy combined
with interposition of sapheneous vein or synthetic graft was the most commonly applied surgical
method in patients with true anevrisms. Conclusions. In one true anevrism (2.9%), amputation of
the lower extremity toes was required due to ischemia more than eight hours. It is suggested that
peripheral aneurysms (even asymptomatic cases) must be surgically treated since they may cause
serious complications.
arteriosclerosis and common use of invasive methods for the diagnostic and therapeutic purposes.
The aim of this report is to evaluate preoperative features of peripheral arterial aneurisms operated
at our clinic and their surgical results retrospectively. Methods. 35 peripheral arterial aneurysm
cases diagnosed and operated at our clinic between the years of 1999-2008 and they were
retrospectively evaluated. Results. Acute and chronic ischemia of the extremities were determined
in 12 cases (34.3%). True aneurysms were seen in 12 (34.3%) cases (more than one aneurysm in
one case). Pseudo-aneurysms were seen in 23 (65.7%) cases. Frequent causes for true and pseudoaneurysms were arteriosclerosis and iatrogenic factors. Frequent localization of the 26 (74.2%)
aneurysms were the femoral and popliteal arteries. It was noted that, aneurysmectomy combined
with interposition of sapheneous vein or synthetic graft was the most commonly applied surgical
method in patients with true anevrisms. Conclusions. In one true anevrism (2.9%), amputation of
the lower extremity toes was required due to ischemia more than eight hours. It is suggested that
peripheral aneurysms (even asymptomatic cases) must be surgically treated since they may cause
serious complications.
Keywords
References
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Details
Primary Language
Turkish
Subjects
Health Care Administration
Journal Section
Research Article
Publication Date
May 13, 2009
Submission Date
May 13, 2009
Acceptance Date
-
Published in Issue
Year 1970 Volume: 31 Number: 3