Acute complications of peripheral arterial aneurysms
Keywords:
aneurisms, arteries, complicationsAbstract
Peripheral arterial aneurysms are caused by the following reasons: arteriosclerosis ( 80 % of cases); infections (micosis); and post-dilatation. With increase of arterial repair surgery, false aneurysms are ofte?l observed; these are termed anastomotic aneurysms.
Peripheral aneurysms often have complications which imply a serious threat to the circulation of the limb, very often leading to gangrene and even death of patient. There is unanimous agreement that surgery of peripheral aneurysms should be performed at an early
stage and that treatment will consist of abscission of aneurysm and re-establishment of arterial continuity, In arder to prevent formation of anastomotic aneurysms, it is important to perform termino-lateral anastomosis in the inguino-crural region, avoiding excessive
tension and employing synthetic suture material. The use of anticoagulant s in the immediate post-operatory period seems to be an important factor in development of these aneurysms. However, there is no doubt that advanced degenerative arteriosclerotic lesions in the re<teiving artery play an extremely important part in production of anastomotic aneurysms.
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