Arterial reconstruction of infected femoral artery pseudoaneurysms using superficial femoral-popliteal vein.

Background: Infected femoral artery pseudoaneurysms (IFAPs) secondary to percutaneous arterial access, injection of illegal substances, and from infected synthetic grafts, appear to be increasing in incidence. Ligation of IFAPs without revascularization offers control of infection but may risk limb ischemia. Revascularization with extraanatomic synthetic grafts may risk reinfection and abrupt thrombosis.

Aortofemoral bypass in young patients with premature atherosclerosis: is superficial femoral vein superior to Dacron?

Purpose: Previous studies have documented poor patency rates in "young" patients (age 55 years or younger) with premature atherosclerosis undergoing aortofemoral bypass (AFB) to treat aortoiliac occlusive disease. Given the high reported graft patency rates with superficial femoral vein (SFV) grafts performed because of aortic graft infection, we evaluated the role of SFV grafts for AFB as primary therapy for premature atherosclerosis in a case-control study.

Methods: Over 10 years 31 patients aged 55 year or younger underwent AFB with use of SFV (V-AFB).