Stump pressure measurement as a predictor of limb salvage in infected femoral artery pseudoaneurysms in recreational drug abusers
El-Mahdy, H., Ghoneim, B., Ali, M. (2018). Stump pressure measurement as a predictor of limb salvage in infected femoral artery pseudoaneurysms in recreational drug abusers. EKB Journal Management System, 37(4), -. doi: 10.4103/ejs.ejs_62_18
Hossam El-Mahdy; Baker Ghoneim; Mohammed Ali. "Stump pressure measurement as a predictor of limb salvage in infected femoral artery pseudoaneurysms in recreational drug abusers". EKB Journal Management System, 37, 4, 2018, -. doi: 10.4103/ejs.ejs_62_18
El-Mahdy, H., Ghoneim, B., Ali, M. (2018). 'Stump pressure measurement as a predictor of limb salvage in infected femoral artery pseudoaneurysms in recreational drug abusers', EKB Journal Management System, 37(4), pp. -. doi: 10.4103/ejs.ejs_62_18
El-Mahdy, H., Ghoneim, B., Ali, M. Stump pressure measurement as a predictor of limb salvage in infected femoral artery pseudoaneurysms in recreational drug abusers. EKB Journal Management System, 2018; 37(4): -. doi: 10.4103/ejs.ejs_62_18

Stump pressure measurement as a predictor of limb salvage in infected femoral artery pseudoaneurysms in recreational drug abusers

The Egyptian Journal of Surgery
Volume 37, Issue 4, October 2018  XML PDF (1.3 MB)
DOI: 10.4103/ejs.ejs_62_18
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Authors
Hossam El-Mahdy; Baker Ghoneim; Mohammed Ali
Abstract
Introduction
The management of infected femoral pseudoaneurysms due to local injury after drug injection is a challenging debatable armamentarium.
Patients and methods
Twenty patients presented with infected pseudoaneurysm of the femoral artery due to recreational drug injection. Measurement of stump pressures (SPs) in the femoral arteries intraoperatively was done in all patients after ligation.
Results
All patients were men with a mean age of 36.9 years. The mean SP was 54.85 mmHg. SP was less than 60 mmHg in eight patients in whom transobturator bypass was mandatory to be performed. SP was at least 60 mmHg in 12 patients who underwent ligation without any trial of subsequent revascularization.
Conclusion
SP measurement in the superficial femoral artery is a good indicator for the need of revascularization after femoral artery ligation in patients with infected femoral pseudoaneurysms due to recreational drug injection.
Keywords
infected; pseudoaneurysm; Revascularization; stump pressure
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