Surgical treatment of Infected Femoral Artery Pseudoaneurysm

Objective:To evaluate surgical treatment of infected femoral artery pseudoaneurysm.Methods:The data on surgical treatment of 61 patients with infected femoral artery pseudoaneurysm admitted from January 2006 to December 2010 were arlalyzed retrospectively.Fifty-three patients underwent operative treatment incIuding excision of infected femoral artery pseudoaneurysm,exhaustive debridement and bypass graft with vascular prosthesis.Eight patients were underwent removing of infected femoral artery pseudoaneurysm and ligating the proximal and distal artery of pseudoaneurysm.Results:The patients were foIlowed up from 3 to 36 months.The limbs of all the patients underwent bypass graft with vascular prosthesis were salvaged successfully,had not intermittent lameness.Three of eight patients performed ligation of artery was salvaged successfully but had severe intermittent lameness,another patient underwent high amputation above knee because of ischemic gangrene.Conclusion:For infected femoral artery pseudoaneurysm,the operative treatment inciuding excision of infected femoral artery pseudoaneurysm,exhaustive debridement and bypass graft with vascular prosthesis is effective and safe.