TREATMENT OF INFECTED PSEUDOANEURYSM IN DRUG ABUSERS: LIGATION OR RECONSTRUCTION?

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SALEHIAN M.T.; SHAHID N.; MOHSENI M.; GHODOOSI I.; MARASHI S.A.; FAZEL I.

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Journal: ARCHIVES OF IRANIAN MEDICINE Year:2006 | Volume:9 | Issue:1 Page(s): 49-52

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Title

TREATMENT OF INFECTED PSEUDOANEURYSM IN DRUG ABUSERS: LIGATION OR RECONSTRUCTION?

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Keywords

DRUG ABUSERS • LIGATION • PSEUDOANEURYSM

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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APA: Copy

SALEHIAN, M.T., SHAHID, N., MOHSENI, M., GHODOOSI, I., MARASHI, S.A., & FAZEL, I.. (2006). TREATMENT OF INFECTED PSEUDOANEURYSM IN DRUG ABUSERS: LIGATION OR RECONSTRUCTION?. ARCHIVES OF IRANIAN MEDICINE, 9(1), 49-52. SID. https://sid.ir/paper/280049/en

Vancouver: Copy

SALEHIAN M.T., SHAHID N., MOHSENI M., GHODOOSI I., MARASHI S.A., FAZEL I.. TREATMENT OF INFECTED PSEUDOANEURYSM IN DRUG ABUSERS: LIGATION OR RECONSTRUCTION?. ARCHIVES OF IRANIAN MEDICINE[Internet]. 2006;9(1):49-52. Available from: https://sid.ir/paper/280049/en

IEEE: Copy

M.T. SALEHIAN, N. SHAHID, M. MOHSENI, I. GHODOOSI, S.A. MARASHI, and I. FAZEL, “TREATMENT OF INFECTED PSEUDOANEURYSM IN DRUG ABUSERS: LIGATION OR RECONSTRUCTION?,” ARCHIVES OF IRANIAN MEDICINE, vol. 9, no. 1, pp. 49–52, 2006, [Online]. Available: https://sid.ir/paper/280049/en

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