Surgical Management of the Infected Femoral Pseudoaneurysms In Intravenous Drug Addicts | ||
| The Egyptian Journal of Hospital Medicine | ||
| Article 23, Volume 72, Issue 5, July 2018, Pages 4539-4542 PDF (372.91 K) | ||
| Document Type: Original Article | ||
| DOI: 10.21608/ejhm.2018.9541 | ||
| Authors | ||
| Mohammed Abdessalam Abdallah Hemdan* ; Ashraf Mohammed Ewida; Yasser Hussin Hassan Metwally | ||
| Department of Vascular Surgery, Faculty of Medicine, Al-Azhar University, Cairo, Egypt. | ||
| Abstract | ||
| Background: Vascular system complications are an ongoing hazard of intravenous drug abuse. Patients and Method: 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. Result: 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. Conclusion: Ligation and debridement appears to be a simple, safe and effective procedure in infected pseudoaneurysms in IV drug users. | ||
| Keywords | ||
| IV drug users; infected pseudoaneurysms; Revascularization; ligation | ||
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