Common Femoral Artery — Uncommon Aneurysms

Abstract

CFA aneurysms are rare. They are palpable in nearly half of the cases. They rarely cause thrombotic or embolic complications, but are almost always connected to other aneurysms. Patients with CFA aneurysms should be screened with duplex scan. Operative therapy is straightforward, few complications can be expected. Postoperative follow-up with annual duplex scans is suggested.

Twenty-year experience of femoral artery aneurysms

“…2,10,11 Our report is consistent with these data. In fact, nearly 30% of our patients were symptomatic and the great majority abruptly arrived with acute complications such as acute limb ischemia or rupture.…”

“…10 In our 20-year experience, they accounted for 4.2% of all aneurysm repair procedures, similar to the 3.1% reported in the study of 14 and 48 PFA aneurysms. 15 Our experience confirmed the predominance of the CFA (Table IV); surprisingly, PFA aneurysms were observed in a more frequent rate than that noted in formerly published experiences.…”

“…Frequently, FAAs are bilateral and clearly associated to other aneurysms as well. 2,10 In their studies, Pappas et al 3 reported that 36% of patients had contralateral FAAs; Baird et al 6 observed a coexisting abdominal aortic aneurysm in 60% of cases, while Dent et al 4 noted that 83% of patients with peripheral aneurysms had multiplicity. In a more recent series, Savolainen et al 10 diagnosed the presence of an abdominal aortic aneurysm in 55% of cases, while popliteal aneurysms were found or later operated on in 66% of cases.…”

“…1 In addition, despite the growing number of diagnostic and therapeutic vascular interventions, the observation of femoral artery aneurysms (FAAs) did not seem to increase, and extensive singlecenter experiences have been rarely published. [2][3][4][5][6][7][8][9][10][11] FAAs may threaten limb function or viability but rarely pose a threat to life until they rupture or become complicated; therefore, the primary aims of their management are to prevent rupture and preserve a fully functional limb until death. 11 The purpose of this study was to define patient characteristics, aneurysm anatomy and presentation, types of repair, and temporal changes in management over 2 decades.…”

Flow Dynamics and Wall Shear Stresses in a Bifurcated Femoral Artery

“…They sometimes cause thrombotic and embolic complications along with other connected aneurysms. The CFA aneurysms need screening and this can be achieved using duplex scan and post-operative follow up [15].…”