Management of Post-traumatic Peripheral Arterial Pseudoaneurysm in Antananarivo


  •   Zakarimanana Lucas Randimbinirina

  •   Tsirimalala Rajaobelison

  •   Nathan Ratsimarisolo

  •   Ravaka Ny Aina Louiset Rakotorahalahy

  •   Harijaona Fanomezantsoa Randrianandrianina

  •   Ahmad Ahmad

  •   Marie Lydia Agnès Ravalisoa

  •   Andriamihaja Jean Claude Rakotoarisoa


Background: Pseudoaneurysm is the usual complication of arterial injury. The aim of this study is to describe the etiology and the management of post-traumatic peripheral arterial pseudoaneurysm in Antananarivo.

Methods: This is a bicentric retrospective study for 10 years period (January 2010 to December 2019), performed in Cardiovascular Unit in Joseph Ravoahangy Andrianavalona Teaching Hospital and in Vascular Unit in Soavinandriana Hospital Center, including all patient who underwent a surgical procedure of post-traumatic peripheral arterial pseudoaneurysm.

Results: 38 patients were recorded in 10 years period, which 26 patients recorded in JRA hospital and 12 patients in Soavinandriana Hospital. Patients were 33 males (86.84%) and 5 females (13.15%). Gunshots wounds (47.36%) and stabs wounds (34.21%) were the commonest circumstances of etiology. Pulsatile mass (84.21%), pain (60.52%) and palpable thrill (71.05%) were the usual of peripheral pseudoaneurysm. Doppler ultrasound (94.73%) and computed tomographic angiography (13.15%) performed the diagnosis of the pseudoaneurysm. Femoral artery (39.47%) and brachial artery (31.57%) were the most involved vessels. All patients underwent an open surgery. Surgical procedures were arterial repair in 26 patients (68.42%), reversed saphenous vein interposition in 5 patients (13.15%), PTFE graft in 2 patients (5.26%) and ligation excision in 5 patients (13.15%). There was no reoperation or mortality in early postoperative period.

Conclusion: Trauma is the most common etiology of pseudoaneurysm in Antananarivo. Open surgical repair remains the procedure to treat the post-traumatic peripheral arterial pseudoaneurysm in our experience.

Keywords: arterial injury, pseudoaneurysm, surgery, trauma


Hall HA, Minc S, Babrowski T. Peripheral artery aneurysm. Surg Clin North Am 2013;93:911‑23, ix.

Eleshra A, Kim D, Park HS, Lee T. Access site pseudoaneurysms after endovascular intervention for peripheral arterial diseases. Ann Surg Treat Res. 2019;96(6):305-312.

Luther A, Kumar A, Negi KNR. Peripheral Arterial Pseudoaneurysms - a 10-Year Clinical Study. Indian J Surg 2015;77(2):603-607.

Darbari A, Tandon S, Chandra G, Dwivedi SK, Kumar A, Gupta A. Post-traumatic peripheral arterial pseudoaneurysms: our experience. Indian J Thorac Cardiovasc Surg 2006;22(3):182-187.

Jaiswal LS, Pandit N, Prasad JN, Adhikary S. Pseudoaneurysm of peripheral arteries: Our experience in a communitybased hospital. Indian J Vasc Endovasc Surg 2019;6:102-6.

Audeh A, Al-Ghadeer B, Al-Khaldi F. Surgical Treatment Strategies of Iatrogenic Giant Femoral Artery Pseudoaneurysms. J Vasc Endovasc Surg 2017;2(1):1-5.

Gummerer M, Kummann M, Gratl A, Haller D, Frech A, Klocker J et al. Ultrasound-Guided Fibrin Glue Injection for Treatment of Iatrogenic Femoral Pseudoaneurysms. Vasc Endovascular Surg 2020;54(6):497-503.

Taib AO, Rezziki A, Boutaouer A, Benzirar A, El Mahi O. Faux anévrysme post-traumatique des membres: à propos d’un cas pédiatrique. Arch Pediatr 2015; 22(7):733-736.

Bahcivan M, Keceligil HT, Kolbakir F, Gol MK. Surgical treatment of peripheral artery aneurysms. Hellenic J Cardiol 2010;51(1):37-41.

Yetkin U, Gurbuz A. Post-traumatic pseudoaneurysm of the brachial artery and its surgical treatment. Tex Heart Inst J 2003;30(4),293-297.

Randimbinirina ZL, Rajaobelison T, Randrianarisoa FF, Ravalisoa AML, Rakotoarisoa AJC. Post-traumatic peripheral vascular wounds in the Joseph Ravoahangy Andrianavalona University Academic Center, Antananarivo. Rev Anesth Réanim Med Urg Toxicol 2018;10(1):1-4.

Seyoum N. Outcomes of open surgical interventions for pseudoaneurysms: A 5-year retrospective study at 2 hospitals in Addis Ababa, Ethiopia. East Cent Afr J Surg 2021;26(1)29-35.

Devendra A, Nishith PG, Velmurugesan P, Venkatramani H, Dheenadhayalan J, Rajasekaran S. Surgical management of peripheral artery pseudoaneurysm following orthopedic trauma: a report of 14 cases. Eur J Trauma Emerg S 2020:1-9.

Pan FS, Xie XY, Lin Y, Huang XL, Zheng YL, Liang JY, Li XX. Ultrasound-guided compression repair for iatrogenic femoral artery pseudoaneurysm. Zhonghua Wai Ke Za Zhi 2012;50(4):302-5.

Mishra A, Rao A, Pimpalwar Y. Ultrasound guided percutaneous injection of thrombin: effective technique for treatment of iatrogenic femoral pseudoaneurysms. J Clin Diagn Res 2017;11(4):TC04-TC06.

Huang TL, Liang HL, Huang JS, Yang TL, Chen YJ, Huang PY et al. Ultrasound-guided compression repair of peripheral artery pseudoaneurysm: 8 years’ experience of a single institute. J Chin Med Assoc 2012;75(9):468-473.

Joshi SS. Peripheral Arterial Injuries: an Indian Experience. Indian J Surg 2016;78(3):187-91.

Hafez HM, Woolgar J, Robbs JV. Lower extremity arterial injury: results of 550 cases and review of risk factors associated with limb loss. J Vasc Surg 2001;33(6):1212-9.

Fellmeth BD, Roberts AC, Bookstein JJ, Freischlag JA, Forsythe JR, Buckner NK et al. Postangiographic femoral artery injuries: non surgical repair with US-guided compression. Radiology 1991;178:671e5.

Cope C, Zeit R. Coagulation of aneurysms by direct percutaneous thrombin injection. Am J Roentgenol 1986;147(2):383-387.

Kontopodis N, Tsetis D, Tavlas E, Dedes A, Ioannou CV. Ultrasound guided compression versus ultrasound guided thrombin injection for the treatment of post-catheterization femoral pseudoaneurysms: systematic review and meta-analysis of comparative studies. Eur J Vasc Endovasc Surg 2016;51(6):815-823.


How to Cite
Randimbinirina, Z. L., Rajaobelison, T., Ratsimarisolo, N., Rakotorahalahy, R. N. A. L., Randrianandrianina, H. F., Ahmad, A., Ravalisoa, M. L. A., & Rakotoarisoa, A. J. C. (2021). Management of Post-traumatic Peripheral Arterial Pseudoaneurysm in Antananarivo. European Journal of Clinical Medicine, 2(3), 134–138.

Most read articles by the same author(s)