A rare case of dorsalis pedis artery pseudoaneurysm: Surgical management and review of the literature

Giulia Maria Piermarini , Corrado Cirielli , Gennaro Restaino , Massimiliano Missere , Mario Nocerino , Luca Mascellari , Pietro Modugno
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引用次数: 0

Abstract

Introduction

Aneurysms of the dorsalis pedis artery (DPA) are a rare condition but their management is essential to prevent significant complications, such as rupture or foot ischemia2,3,4. Despite the evolution of therapeutic techniques in recent decades, the current literature shows a predominant use of surgical treatments, with limited recourse to endovascular options. This study presents a clinical case of DPA pseudoaneurysm and offers a review of current therapeutic approaches.

Methods

We performed a systematic review of the literature using PubMed and Scopus, analyzing articles published from 1955 to the present. We focused on studies that addressed etiology, clinical presentation, diagnostic methods, and treatment outcomes.

Results

In our review, trauma (25 %) and iatrogenic causes (18.75 %) were the most frequent etiologies of DPA aneurysms. The typical clinical presentation was a pulsatile mass, and Doppler ultrasound was the most common diagnostic tool. Surgery, especially resection and ligation of feeding vessels (50 %), was the most frequently used treatment. Endovascular treatments, including embolization, were rare. No significant complications were reported 44.

Discussion

Surgical treatment remains the primary approach for DPA aneurysms, resulting in good outcomes when performed promptly. Despite the advancements in endovascular techniques, their application to DPA aneurysms remains limited, with only one case reported in the literature.44

Conclusions

Despite the rarity of DPA aneurysms, surgical treatment remains effective and safe when promptly applied.
罕见的足背动脉假性动脉瘤一例:手术治疗及文献复习
足背动脉动脉瘤(DPA)是一种罕见的疾病,但其治疗对于防止严重并发症(如破裂或足部缺血)至关重要2,3,4。尽管近几十年来治疗技术不断发展,但目前的文献显示手术治疗占主导地位,而血管内治疗的选择有限。本研究报告一临床病例的DPA假性动脉瘤,并提供了目前的治疗方法的回顾。方法使用PubMed和Scopus对1955年至今发表的文献进行系统综述。我们重点关注病因、临床表现、诊断方法和治疗结果的研究。结果创伤(25%)和医源性(18.75%)是造成上膈动脉瘤最常见的原因。典型的临床表现为搏动性肿块,多普勒超声是最常见的诊断工具。手术,尤其是供血血管的切除和结扎(50%)是最常用的治疗方法。血管内治疗,包括栓塞,是罕见的。无明显并发症报道44。手术治疗仍然是DPA动脉瘤的主要治疗方法,及时手术治疗效果良好。尽管血管内技术取得了进步,但其在DPA动脉瘤中的应用仍然有限,文献中仅报道了一例。结论尽管DPA动脉瘤罕见,但及时手术治疗仍是有效和安全的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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