Endovascular Management of Infected Iliofemoral Pseudoaneurysms

The treatment of infected iliofemoral pseudoaneurysms is challenging and controversial. We present our experience regarding the efficacy and outcome of endovascular treatment of infected iliofemoral arterial pseudoaneurysms with covered stents. Our experience with 5 cases showed that stent grafting combined with antibiotic therapy and provisional drainage may be a safe and effective option in patients with cancer, patients with history of multiple hip revisions, and drug-addicted users. In our small case series, the reinfection rate was null and no covered stent thrombosis occurred. These results are fairly encouraging, but further studies with longer follow-up in a larger number of patients are needed to confirm the efficacy and durability of the technique.

[1]  G. Antoniou,et al.  Endovascular stent-graft repair of bleeding common femoral artery pseudoaneurysm in intravenous drug users: a bridge to surgical reconstruction. , 2014, VASA. Zeitschrift fur Gefasskrankheiten.

[2]  M. Lashkarizadeh,et al.  Surgical management of femoral artery pseudoaneurysms secondary to drug abuse. , 2011, Journal of the College of Physicians and Surgeons--Pakistan : JCPSP.

[3]  J. Coffey,et al.  The management of mycotic femoral pseudoaneurysms in intravenous drug abusers. , 2009, Annals of vascular surgery.

[4]  C. Liapis,et al.  Hybrid repair of ruptured infected anastomotic femoral pseudoaneurysms: Emergent stent-graft implantation and secondary surgical debridement. , 2009, Journal of vascular surgery.

[5]  P. Khashayar,et al.  Management of infected femoral pseudoaneurysms in intravenous drug abusers: a review of 57 cases. , 2008, Archives of medical research.

[6]  C. Tsigris,et al.  Emergency Stenting of a Ruptured Infected Anastomotic Femoral Pseudoaneurysm , 2007, CardioVascular and Interventional Radiology.

[7]  G. Vourliotakis,et al.  Infected femoral artery pseudoaneurysm in drug addicts: the beneficial use of the internal iliac artery for arterial reconstruction. , 2007, Journal of vascular surgery.

[8]  S. Akhtar,et al.  Femoral pseudoaneurysm in drug addicts--excision without revascularization is a viable option. , 2006, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[9]  O. Matsui,et al.  Endovascular Stent-Grafting for Infected Iliac Artery Pseudoaneurysms , 2005, CardioVascular and Interventional Radiology.

[10]  D. Kessel,et al.  Endovascular treatment of a MRSA infected left external iliac artery pseudoaneurysm. , 2004, European journal of vascular and endovascular surgery : the official journal of the European Society for Vascular Surgery.

[11]  J. Tsao,et al.  Presentation, Diagnosis, and Management of Arterial Mycotic Pseudoaneurysms in Injection Drug Users , 2002, Annals of vascular surgery.

[12]  R. Neville,et al.  Common femoral artery ligation and local debridement: a safe treatment for infected femoral artery pseudoaneurysms. , 2001, Journal of vascular surgery.

[13]  W. Flinn,et al.  Arterial reconstruction with deep leg veins for the treatment of mycotic aneurysms. , 1999, Journal of vascular surgery.

[14]  P. Rørdam,et al.  [Femoral pseudoaneurysms in drug addicts]. , 1995, Ugeskrift for laeger.

[15]  R. Hobson,et al.  Femoral pseudoaneurysm from drugs of abuse: ligation or reconstruction? , 1992, Journal of vascular surgery.

[16]  A. Shepard,et al.  Management of infected aortoiliac aneurysms. , 1991, Archives of surgery.

[17]  D. J. Reddy.  Treatment of drug-related infected false aneurysm of the femoral artery--is routine revascularization justified? , 1988, Journal of vascular surgery.

[18]  K. R. Patel,et al.  Routine revascularization with resection of infection femoral pseudoaneurysms from substance abuse. , 1988, Journal of vascular surgery.