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Chirurgia 2003 June;16(3):109-12

Copyright © 2003 EDIZIONI MINERVA MEDICA

language: Italian

Femoral artery injury due to inguinal metastasis. Emergency surgical treatment

Siani A., Intrieri F., Laurito A., Marino M.,Gabrielli R., Mastroddi N., Faccenna F., Martinelli O., Gossetti B., Irace L.


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Aim. Injury of femoral artery due to neoplastic infiltration is difficult to manage for clinical onset, associated vein infiltration, high risk of infection requiring an extra-anatomic revascularization in patients with low life expectancy. Our purpose is to evaluate the best treatment regarding clinical signs, risk of infection and kind of revascularization.
Methods. From January 1998 to February 2002 we operated on 5 cases of femoral artery lesions due to neoplastic infiltration. In 1 case acute ischemia of the leg was present, in 4 there was haemorrhagic picture. In 2 cases CT scans were performed, and in 1 case angiography was carried out. The patients have been submitted to tying of femoral artery and a PTFE axillo-superficial femoral bypass.
Results. It was not necessary to perform to amputation in any cases. Patency was achieved in 30 days in all cases. Two patients were lost at follow-up, and 2 died for neoplasia.
Conclusions. Femoral injuries due to secondary infiltration are difficult lesions to manage since the sudden clinical onset does not allow a therapeutic planning, and the infection of the tissue, requiring an extra-anatomic revascularization, shows good midterm results in patients with short life expectancy.

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