Less Invasive (Common) Femoral Artery Aneurysm Repair Using Endografts and Limited Dissection

Abstract

This technique for repair of FAAs can be performed under local anaesthesia, minimises dissection and complications and simplifies exclusion of these lesions. It is of particular value in high-risk patients with large FAAs.

Common femoral artery aneurysm repair using bifurcated graft

“…The graft was deployed in a proximal part of the vessel with normal diameter, and anastomosed distally beyond the aneurysmal segment. This technique avoids extensive circumferential arterial dissection and cross-clamping as well as the need for retroperitoneal or transperitoneal exposure if there is an associated external iliac aneurysm 10. Following the procedure, 30-day patency rate was 100%, with no evidence of migration.…”

“…A hybrid endovascular/open technique limits the amount of groin dissection performed, giving a shorter operating time and reducing complication rates 10. Ranicic et al describe a case series of six males, mean age 72 years, with FAAs (four true, two false, four had associated external iliac artery aneurysms) treated using such an approach 10. A sheath and endograft were inserted into the FAA via a puncture in the anterior wall.…”

A Synchronous Ipsilateral True Superficial Femoral Artery and Profunda Femoris Artery Aneurysm With Rupture: A Case Report and Review of the Literature

“…2,5,6,22 A variety of treatment options have been described including graft interposition as well as endovascular and hybrid approaches. For PFA aneurysms, reimplantation of the unaltered PFA segment to the SFA or ligation or embolization of the PFA is also reported 4,31,32 A limitation of our literature review was that smaller synchronous aneurysms may not be mentioned in the articles we reviewed. As such, the 4 cases mentioned in Table 1 are probably an underestimation of real data.…”

A hybrid approach for vascular control and repair of an expanding iatrogenic femoral artery pseudoaneurysm

“…[9][10][11][12] In addition, balloon control of a ruptured anastomotic pseudoaneurysm and proximal control at the time of pseudoaneurysm repair have been described. 13,14 Nonetheless, many of the aforementioned techniques relied on contralateral groin access and partial inflow/outflow control only, in addition to use of stents, which carry limited usefulness in infected fields. The hybrid technique described here allows for single incision control of the CFA, SFA, and profunda, and allows for primary pseudoaneurysm repair, obviating the need for extensive dissection, contralateral groin access, or use of prosthetic material for repair.…”