Surgical Treatment and Interventional Therapy of Peripheral Aneurysm

Objective:To summarize the experience about the diagnosis,surgical treatment and interventional therapy of peripheral aneurysm. Methods:Twenty patients with peripheral aneurysm consisted of two cases received the endovascular covered stent graft and eighteen cases adopted surgical interventions,the later included three cases of direct repair for the cracks of injuried arterial wall, eleven of aneurysmectomy combined autogeneic great saphenous vein grafting, three of aneurysmectomy combined antificial blood vessel grafting,and one of resection of pseudoaneurysm in arteria profunda femoris and ligation of arteriovenous fistula. Among eighteen cases undergone surgical procedure, one patient accompanied with the abdominal aortic aneurysm and iliac aortic aneurysm was treated with aneurysmectomy and artificial vascular grafting;another one accompanied with lower limb ischemia was treated by arteriotomy of popliteal artery and embolectomy. The third patient accompanied with osteofascial compartment syndrome in his lower leg received open decompression. Results:Two patients undergone interventional therapy and sixteen of eighteen patients adopted surgical treatment gained primary healing, other two patients included one was cured by second surgical procedures due to the less perfusion at the distal part of extremity, and another one with the decompression of osteofascial compartment syndrome of the lower leg was performed skingrafting and remained partial ischemia symptom of common peroneal nerve. Seventeen patients were followed up for 4 months to 5 years(average 15 months ),no recurrence of aneurysm and ischemia symptom were noted in these patients. Conclusion:The eligible therapy for peripheral aneurysm would leads to good clinical results, and the endovascular stent-graft repair is an effective,feasible and less invasive technique.