Surgical Management of the Infected Femoral Pseudoaneurysms In Intravenous Drug Addicts
Journal Title: The Egyptian Journal of Hospital Medicine - Year 2018, Vol 72, Issue 5
Abstract
<strong>Background: </strong>Vascular system complications are an ongoing hazard of intravenous drug abuse. <strong>Patients and Method: </strong>This is a prospective study. The study was conducted on twenty patients who were presented at AL Hussein University Hospital in Cairo with infected femoral artery pseudoaneurysm over a period of eight months from Nov 2017 to July 2018. The inpatient medical charts were reviewed. Data were obtained on their demographic, clinical, management and outcome parameters. <strong>Result: </strong>Among the twenty intravenous drug users presenting with infected femoral artery pseudoaneurysms, (16) of the patients (80%) were seropositive for HCV. All were operated, with (5%) mortality. Primary ligation and debridement was the technique used almost exclusively (75%). One patient was managed by primary reconstruction by direct in-situ repair. Four patients were managed by primary revascularization through exta-anatomical bypass. Mean follow up period was three months. <strong>Conclusion: </strong>Ligation and debridement appears to be a simple, safe and effective procedure in infected pseudoaneurysms in IV drug users.
Authors and Affiliations
Eman Helal
Keywords
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- EP ID EP584177
- DOI 10.12816/ejhm.2018.9541
- Views 121
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