[Repair problems of infected iatrogenic lesions of the femoral trifurcation. Review of 7 cases (author's transl)]

Abstract

The authors report on seven cases of infected iatrogenic lesions of the femoral trifurcation. One case was a false aneurism consecutive to a femoral vein catheterization. In 5 cases an arterial lesion followed angiography according to Seldinger. In the last case aetiology was undetermined. Local symptomatology was always associated to systemic infection. The causative germ was a pseudomonas in 3 cases an a staphylococ in 4 others. Operation was performed in emergency in all cases because of a fissure or a rupture of the artery. The authors performed: one simple arterial suture, one resection with plastic graft, one resection with venous graft and 4 resections with double vein graft. This last procedure appears useful for lesions situated at the femoral division.