title: [Surgical treatment of non-traumatic aneurysm in ilio-femoral arterial region].
abstract: OBJECTIVE
  To summarize the surgical experiences of treating 61 cases of non-traumatic aneurysms in ilio-femoral arterial region.
  
  
  METHODS
  The clinical data of 61 consecutive patients with non-traumatic aneurysms in ilio-femoral arterial region between January 1985 and November 2010 were retrospectively reviewed.
  
  
  RESULTS
  There were a total of 76 non-traumatic aneurysms in ilio-femoral arterial region, including solitary iliac aneurysms (n = 29) and femoral aneurysms (n = 32). Seventeen (27.9%) patients had multiple aneurysms, 8 (13.1%) patients ruptured aneurysms and 4 (6.6%) patients coexistent peripheral vascular occlusive disease. Fifty patients underwent electively aneurysm excision and graft (or autogenous vein) replacement. Seven patients with ruptured aneurysms received emergency treatment. And one with multiple aneurysms died intra-operatively from ruptured iliac aneurysm. One patient with common iliac aneurysm underwent endovascular repair without endoleak and 1 with internal iliac aneurysm received embolization. There was no perioperative mortality. But one with femoral aneurysm underwent amputation due to acute thrombosis. Seven patients died during the follow-up period and the survivors remained stable and had a good graft patency without new aneurysm formation.
  
  
  CONCLUSIONS
  Early management of aneurysms in ilio-femoral arterial region is rather important and multiple aneurysms should be considered. Aneurysm excision and arterial reconstruction yield an excellent outcome. Close and long-term follow-up is mandatory for the detection of new aneurysm formation.
authors.affiliation: Department of Surgery, First Affiliated Hospital, China Medical University, Shenyang 110001, China.
authors.forename: Jing-hong
authors.initials: JH
authors.lastname: Zhang
authors.forename: Hai-di
authors.initials: HD
authors.lastname: Hu
authors.forename: Qing
authors.initials: Q
authors.lastname: Chang
authors.forename: Yong
authors.initials: Y
authors.lastname: Feng
authors.forename: Zhi-quan
authors.initials: ZQ
authors.lastname: Duan
authors.forename: Shi-jie
authors.initials: SJ
authors.lastname: Xin
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000783:Aneurysm / Q000209:etiology / Q000601:surgery*; D017542:Aneurysm, Ruptured / Q000601:surgery; D005260:Female; D005263:Femoral Artery / Q000601:surgery*; D006801:Humans; D017543:Iliac Aneurysm / Q000601:surgery*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D055815:Young Adult