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Blood cultures were positive, and antibiotics were initially continued until infection markers improved. As the aneurysm enlarged, emergency surgery was required, but the invasive open approach was avoided by selecting a hybrid strategy combining endovascular stent grafting with artificial graft replacement. Postoperative recovery was favorable, supporting hybrid therapy when radical cure is limited.",{"@graph":14,"@context":73},[15,34,56],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/document/","Document",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/document/research-report/","Research & Report",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/document/hybrid-repair-of-infected-femoral-artery-pseudoaneurysm-stent-graft-placement-and-artificial-graft-replacement/328429/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/hybrid-repair-of-infected-femoral-artery-pseudoaneurysm-stent-graft-placement-and-artificial-graft-replacement/328429.png","ImageObject",300,407,{"name":42,"@type":43},"Liam","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-23","2026-09-21",true,{"@type":52,"interactionType":53,"userInteractionCount":55},"InteractionCounter",{"@type":54},"ViewAction",6,{"@type":57,"mainEntity":58},"FAQPage",[59,65,69],{"name":60,"@type":61,"acceptedAnswer":62},"Why is an infected femoral artery pseudoaneurysm considered difficult to manage?","Question",{"text":63,"@type":64},"It is often life-threatening and presents major management challenges compared with non-infected pseudoaneurysms.","Answer",{"name":66,"@type":61,"acceptedAnswer":67},"What was the initial treatment approach in this case?",{"text":68,"@type":64},"Antibiotic therapy was continued to control the infection, guided by blood cultures and laboratory results.",{"name":70,"@type":61,"acceptedAnswer":71},"Why was a hybrid repair chosen instead of a more invasive operation?",{"text":72,"@type":64},"Open surgical repair would require extensive abdominal vascular reconstruction, and the hybrid approach reduced invasiveness by combining stent graft placement with artificial graft replacement.","https://schema.org",{"og:url":32,"og:type":75,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":77,"canonical":32},"index,follow",{"doc_id":79,"site_id":7},328429,1790156698,{"code":4,"msg":82,"data":83},"success",[84,88,92,96,101,105,110,114,119,122,126],{"id":22,"doc_module":4,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},"Story & Novel",90,"story-novel",{"id":26,"doc_module":4,"doc_module_name":25,"category_name":89,"show_sort_weight":90,"slug":91},"Literature",80,"literature",{"id":33,"doc_module":4,"doc_module_name":25,"category_name":93,"show_sort_weight":94,"slug":95},"Exam",70,"exam",{"id":97,"doc_module":4,"doc_module_name":25,"category_name":98,"show_sort_weight":99,"slug":100},5,"Comic",60,"comic",{"id":55,"doc_module":4,"doc_module_name":25,"category_name":102,"show_sort_weight":103,"slug":104},"Technology",50,"technology",{"id":106,"doc_module":4,"doc_module_name":25,"category_name":107,"show_sort_weight":108,"slug":109},7,"Healthcare",40,"healthcare",{"id":111,"doc_module":4,"doc_module_name":25,"category_name":29,"show_sort_weight":112,"slug":113},8,30,"research-report",{"id":115,"doc_module":4,"doc_module_name":25,"category_name":116,"show_sort_weight":117,"slug":118},9,"Religion & Spirituality",20,"religion-spirituality",{"id":117,"doc_module":4,"doc_module_name":25,"category_name":120,"show_sort_weight":117,"slug":121},"World Cup","world-cup",{"id":123,"doc_module":4,"doc_module_name":25,"category_name":124,"show_sort_weight":123,"slug":125},10,"Lifestyle","lifestyle",{"id":127,"doc_module":4,"doc_module_name":25,"category_name":128,"show_sort_weight":97,"slug":129},19,"General","general",{"code":4,"msg":82,"data":131},{"doc_id":79,"user_id":132,"nickname":42,"user_avatar":133,"doc_module":4,"category_id":111,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":134,"file_id":135,"file_url":136,"file_type":137,"file_size":138,"view_count":55,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":111,"language":139,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":140,"faqs":141,"seo_title":142,"seo_description":12,"update_tm":143,"read_time":117,"preview_page_count":4},8796095461564,"https://ap-avatar.wpscdn.com/davatar_155a257f0dc6eb9ab79c44ca47cae57d","Review began 07/19/2024  \nReview ended 07/24/2024  \nPublished 07/29/2024  \n© Copyright 2024  \nYamauchi et al. This is an open access article distributed under the terms of the Creative Commons Attribution License CCBY 4.0. , which permits unrestricted use , distribution , and reproduction in any medium , provided the original author and source are credited.  \nDOI: 10.7759/cureus.65657  \nOpen Access Case Report  \nHybrid Repair of Infected Femoral Artery Pseudoaneurysm: Stent Graft Placement and Artificial Graft Replacement  \nHirotaka Yamauchi 1, Soichiro Kageyama 1, Akinori Kojima 1, Hideo Morita 1 , Takeki Ohashi 1 1. Cardiovascular Surgery, Nagoya Tokushukai General Hospital, Kasugai, JPN  \nCorresponding author: Hirotaka Yamauchi, [hirotaka.y1121@gmail.com](hirotaka.y1121@gmail.com)  \nAbstract  \nA femoral artery pseudoaneurysm is the most prevalent complication of femoral access due to the artery 's accessibility and frequent use for catheterization and blood tests. An infected femoral artery pseudoaneurysm is often life-threatening and challenging to manage. A 70-year-old male with a history of tongue cancer treatments, including resection, lymph node dissection, and radiation chemotherapy, visited his previous physician for a fever and was prescribed oral antibiotics, but the fever persisted, accompanied by pain and a mass in the left groin. An enhanced CT revealed an infected pseudoaneurysm of the left femoral artery. The fever 's etiology was unclear but likely stemmed from a blood draw from the femoral artery during a prior visit, resulting in a pseudoaneurysm that became infected. The patient was transferred to our hospital due to management challenges. Blood cultures from the previous hospital were positive, and laboratory tests indicated an active infection. The initial strategy was to continue antibiotic therapy to control the infection. After approximately a month of antibiotic treatment, blood cultures remained negative, and laboratory results improved significantly. However, the aneurysm had clearly enlarged, necessitating emergency surgery. Typically, surgical intervention requires opening the abdomen to replace the external iliac artery to its extent, a considerably invasive procedure for the patient. Thus, we opted for a hybrid treatment, implanting a stent graft from the external iliac artery to the proximal common femoral artery and replacing artificial blood vessels from there to the femoral artery bifurcation. The postoperative course was favorable. In this case, we provided the optimal treatment for the patient 's condition, despite the impossibility of a radical cure due to the cancer 's progression. We believe the infected pseudoaneurysm was adequately controlled, and the hybrid therapy is effective for patients who cannot endure more invasive treatments.  \nCategories: Cardiac/Thoracic/Vascular Surgery, Infectious Disease  \nKeywords: minimally invasive procedure, artificial blood vessel replacement, endovascular stent graft, hybrid procedures, infected femoral artery pseudoaneurysm  \nIntroduction  \nThe femoral artery is highly accessible and frequently utilized for catheterization and blood tests. Apseudoaneurysm of the femoral artery is the most prevalent complication at the femoral access site, arising post-catheterization, anastomosis of the native artery and artificial graft, trauma, or infection [1] . Notably, infected femoral artery pseudoaneurysm (IFAP) is often life-threatening and challenging to manage.  \nTreating IFAP necessitates open surgical repair, which carries a high complication rate [2-4].  \nRecent advancements have made endovascular stent-graft placement an effective and minimally invasive alternative technique for aneurysm treatment, particularly as a temporary bridge for critically ill patients [5] .  \nIn this report, we describe a case of IFAP caused by a blood draw puncture to the groin, despite the infection source being unknown. A hybrid repair was performed to minimize invasiven","cbCais1tM2BGqIIS","https://ap.wps.com/l/cbCais1tM2BGqIIS","pdf",2881526,"English","# Abstract\n# Introduction\n# Case Presentation","[{\"question\":\"Why is an infected femoral artery pseudoaneurysm considered difficult to manage?\",\"answer\":\"It is often life-threatening and presents major management challenges compared with non-infected pseudoaneurysms.\"},{\"question\":\"What was the initial treatment approach in this case?\",\"answer\":\"Antibiotic therapy was continued to control the infection, guided by blood cultures and laboratory results.\"},{\"question\":\"Why was a hybrid repair chosen instead of a more invasive operation?\",\"answer\":\"Open surgical repair would require extensive abdominal vascular reconstruction, and the hybrid approach reduced invasiveness by combining stent graft placement with artificial graft replacement.\"}]","Hybrid Repair of Infected Femoral Artery Pseudoaneurysm - Stent Graft Placement and Artificial Graft Replacement | PDF",1789979709]