LOWER EXTREMITY ARTERY ANEURYSMS AND THEIR MANAGEMENT-AN INSTITUTIONAL EXPERIENCE

Objective: To study the clinical presentation, etiology and outcomes of Lower extremity aneurysms management at a teritiary care centre. Methodology: This is a retrospective study covering a period of 5 years from june 2018 to july 2023 conducted at the Institute of Vascular Surgery, Madras Medical College, Chennai. Case sheets were retrieved and reviewed from CMCHS database. Inclusion criteria: Patients with true aneurysms and pseudoaneurysms involving lower limb who were managed by surgery or endovascular means were included in the study. Exclusion Criteria: Pseudoaneurysms related to dialysis and Iliac artery aneurysms Results There were 23 patients who presented with aneurysms of the extremities that fell in the inclusion criteria. Of these 14 patients were male and 09 were female. Children (<18 years) constituted 14.2 % of patients. Youngest- 7-month-old boy- Right PFA Pseudoaneurysm Oldest - 72yrs old male- Left PFA Pseudoneurysm • Major vessels involved were SFA-8/23(34.7%) and common femoral artery 5/23(21.7%.). Complications developed in 4 of the 23 cases (17.4%), which included recurrent pseudoaneurysm, surgical site infection, post- operative hematoma and surgical site infection ending up in AK amputation. Limb salvage rate was- 95.6% Amputation rate- 4% (1 patient). Conclusion: Extremity artery aneurysms are uncommon. Majority are pseudoaneurysms. Results of both open surgery and endovascular management are excellent.