Surgical perspective in pseudoaneurysm of peripheral arteries: a better limb salvage option


  • Lakshmi Sinha Department of CTVS, G.B. Pant Institute of Postgraduate Medical Education and Research (GIPMER) University of Delhi, New Delhi, India
  • Sanjeev Kumar Department of CTVS, AIIMS, Patna, Bihar, India
  • Nishit Ranjan Department of General Surgery, AIIMS, Deoghar, Jharkhand, India
  • Rituraj . Department of Pathology, Govt. Medical College, Bettian, Bihar, India



Pseudoaneurysm, Excision, Repair


Aneurysm involve all three layers of vessel wall. Psudoaneurysm also known as false aneurysm is a collection of blood that forms between the two outer layers of an artery. Femoral and popliteal artery aneurysms account for more than 90% of peripheral aneurysms, with popliteal artery aneurysms being the most common (70%). The estimated incidence of femoral and popliteal aneurysms is approximately 7/100,000 men and 1/100,000 women. Femoral aneurysms usually involve the common femoral artery but may occasionally extend or be limited to the superficial femoral artery (SFA) in the midthigh. Femoral and popliteal aneurysms are commonly associated with other aneurysms, with approximately 80% of patients having multiple aneurysms. Femoral and popliteal aneurysms show a high incidence of thromboembolic complications, which can result in limb loss. Pseudoaneurysm, if left untreated can result in deadly limb loss.


Kouvelos GN, Papas NK, Arnaoutoglou EM, Papadopoulos GS, Matsagkas MI. Endovascular repair of profunda femoral artery false aneurysms using covered stents. Vascular. 2011 Feb;19(1):51-4.

Amato ACM, Kahlberg A, Bertoglio L, Melissano G, Chiesa R. Endovascular treatment of a triple paraanastomotic aneurysm after aortobiiliac reconstruction". J Vasc Br. 2008;7(3):278.

Tisi PV, Callam MJ. Treatment for femoral pseudoaneurysms. Cochrane Database Syst Rev. 2013;11:CD004981.

Malgor RD, Labropoulos N, Gasparis AP, Landau DS, Tassiopoulos AK. Results of a new human recombinant thrombin for the treatment of arterial pseudoaneurysm. Vasc Endovascular Surg. 2012;46(2):145-9.

Saad NE, Saad WE, Davies MG, Waldman DL, Fultz PJ, Rubens DJ. Pseudoaneurysms and the role of minimally invasive techniques in their management. Radiographics. 2005;25:173-89.

Sinha L, Singh AK, Kumar S, Isser UC. Study on the Economical Way to Offload Diabetic Foot Ulcers: A Prospective Study. Int J Sc Res. 2018;2319-7064.






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