Treatment of infected pseudoaneurysm in drug abusers: ligation or reconstruction?
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| Abstract | BACKGROUND: Recently, there has been an increase in the incidence of major vascular complications such as infected pseudoaneurysm due to intravenous drug use. OBJECTIVE: For better understanding of the existing controversies regarding the optimal surgical management of infected pseudoaneurysm, the present study was conducted. METHODS: Medical charts of 36 consecutive patients who underwent surgery in Taleghani Hospital, Tehran, Iran from 1996 through 2003, were retrospectively analyzed. RESULTS: We studied the hospital records of 33 cases; two patients had bilaterally infected pseudoaneurysms and one underwent an emergency reoperation. The total number of operations was 36. Eleven cases (30.5%) underwent ileofemoral reconstruction and 25 (69.5%) arteries were ligated. All patients presented with infected femoral or brachial pseudoaneurysms due to intravenous drug abuse. Postoperatively, there was no hemorrhage, vascular thrombosis, amputation, or mortality. Three cases (8%) had incisional infections (2 [18%] after reconstruction and 1 [4%] after ligation operation) and 7 patients (19%) had claudication (all after ligation). CONCLUSION:
Ligation is the optimal management for infected pseudoaneurysm, because it is easy, cost-effective, and safe. Reconstruction is not recommended, because of an extended infection at the location of pseudoaneurysm and at the artificial graft site.
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| Authors | Mohammad-Taghi Salehian, Negin Shahid, Mahshid Mohseni, Iraj Ghodoosi, Seyed-Ali Marashi, Iraj Fazel |
| Journal | Archives of Iranian medicine (Arch Iran Med) Vol. 9 Issue 1 Pg. 49-52 (Jan 2006) ISSN: 1029-2977 [Print] Iran |
| PMID | 16649378 (Publication Type: Journal Article) |
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