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Femoral pseudoaneurysm in Addicts

M Ben Hammamia, M Fourati, J Ziadi, F Ghedira, M Ben Mrad, R Denguir
PURPOSE: To describe the therapeutic management of false aneurysms of the femoral artery in drug addicts. PATIENTS AND METHODS: We report the cases of four drug addicts with pseudoaneurysms of the femoral artery. RESULTS: All patients were male with a mean age of 36 years. Emergency surgical treatment involved removal of the pseudoaneurysm followed by a venous graft (n=3) or patch (n=1). The post-operative period was uneventful for three patients...
May 2018: Journal de Médecine Vasculaire
Qining Fu, Xiyun Meng, Fenghe Li, Xuehu Wang, Jun Cheng, Wen Huang, Wei Ren, Yu Zhao
PURPOSE: Explore the application of endovascular covered stent-graft (SG) placement in femoral pseudoaneurysms in intravenous drug addicts. MATERIALS AND METHODS: We evaluated a consecutive series of pseudoaneurysm in intravenous drug addicts treated with SGs from August 2010 to December 2013. RESULTS: 15 patients with 16 arterial pseudoaneurysms were enrolled in this study. All were males with a mean age of 36.9 years. Hemorrhage was the most common reason (93...
June 2015: Cardiovascular and Interventional Radiology
Cristian D'Ovidio, Paola Vellante, Sara Costantini, Aldo Carnevale
Intravenous drug injection persists despite health risks and medical complications. Venous thrombosis, septic thrombophlebitis, artery necrosis, arterio-venous fistula, mycotic aneurysm, dissecting hematoma, pseudoaneurysm formation, and soft tissues infections (i.e. abscesses, cellulitis, infected ulcers), are some of the major clinical consequences lives threatening. The aim of this work is to present this unusual autoptic case of a drug addict man died for an unrecognized groin abscess referred to the Institute of Legal Medicine, University of Chieti, causing femoral vein's erosion, and to analyse the most common patterns of vascular lesions among drug addicts...
July 2013: Journal of Forensic and Legal Medicine
Emmanouil Psathas, Stella Lioudaki, Fotios-Filippos Karantonis, Petros Charalampoudis, Othon Papadopoulos, Chris Klonaris
Infected pseudoaneurysm of the femoral artery represents a devastating complication of intravenous drug abuse, especially in the event of rupture. Operative strategy depends upon the extent of arterial injury and the coexistence of infection or sepsis. Options range from simple common femoral artery (CFA) ligation to complex arterial reconstruction with autologous grafts (arterial, venous, or homografts). We report herein the management of a 29-year-old male patient who was urgently admitted with a ruptured pseudoaneurysm of the right CFA, extending well above the inguinal ligament...
2012: Case Reports in Vascular Medicine
B K Arora, S Parshad, R K Karwasra, V Saroha
Pseudoaneurysm formation in the site of Intravenous drug abuser had been reported in literature. The repeated puncture of femoral vessels leads to abscess formation and epithelisation of the wall which leads to pseudoaneurysm formation. A case of lacking pseudoaneurysm presenting as reptured groin abscess in a drug addict is reported, which was managed successfully by Hunterian ligation with salvage of lower limb.
June 2011: Journal of the Indian Medical Association
Zuo-Jun Hu, Shen-Ming Wang, Xiao-Xi Li, Song-qi Li, Xue-Ling Huang
BACKGROUND: We analyzed the hemodynamic changes induced by femoral artery ligation with concomitant thrombectomy in intravenous drug abusers with infected femoral artery pseudoaneurysm (IFAP) and their clinical significance. METHODS: Between January 2000 and November 2007, a total of 55 patients presented to our clinic with IFAP. Among these patients, 54 were treated by femoral artery ligation with concomitant thrombectomy. Open collateral circulations were assessed by intraoperative angiography, including detection of mean artery pressure (MAP) of back-flow from the profunda femoris artery and the superficial femoral artery after operation...
February 2010: Annals of Vascular Surgery
Tommaso Lupattelli, Francesco Giuseppe Garaci, Antonio Basile, Daniela Paola Minnella, Andrea Casini, Jacques Clerissi
Mycotic false aneurysm caused by local arterial injury from attempted intravenous injections in drug addicts remains a challenging clinical problem. The continued increase in drug abuse has resulted in an increased incidence of this problem, particularly in high-volume urban centres. In the drug-abusing population, mycotic arterial pseudoaneurysms most often occur because of missed venous injection and are typically seen in the groin, axilla, and antecubital fossa. Mycotic aneurysms may lead to life-threatening haemorrhage, limb loss, sepsis, and even death...
March 2009: Cardiovascular and Interventional Radiology
H Scheuerlein, S Ruff, P Haage, H Zirngibl, S Fraunhofer, U Settmacher
BACKGROUND: Drug addiction is a global medical and public health-care problem. Infections of the groin and fossa cubitalis are a common clinical problem in these patients. Severe vascular complications are rare but if they occur, therapy is difficult and requires emergency management and surgery because of bleeding problems. METHODS: In a retrospective case series, we report on patients treated within an emergency setting in our hospital because of groin abscesses with vascular involvement between 2003 and 2006...
February 2008: Zentralblatt Für Chirurgie
Chris Klonaris, Athanasios Katsargyris, Anastasios Papapetrou, George Vourliotakis, Sotiris Tsiodras, Sotiris Georgopoulos, Athanasios Giannopoulos, Elias Bastounis
BACKGROUND: Infected femoral artery pseudoaneurysm (IFAP) is a severe complication in parenteral drug abusers, with difficult and controversial management. Ligation alone without revascularization is frequently associated with later intermittent claudication and limb amputation. Furthermore, arterial reconstruction with a synthetic or venous conduit is limited because of a contaminated field and, often, unavailability of autologous venous grafts. In this study, we present our experience with the internal iliac artery (IIA) as a graft for arterial reconstruction after IFAP excision in these patients...
March 2007: Journal of Vascular Surgery
R-A Yegane, N-A Salehi, A Ghaseminegad, F Bahrami, M Bashashati, M Ahmadi, M Hojjati
OBJECTIVE: To assess the complications related to intravenous drug abuse. DESIGN: Prospective study. METHODS: Intravenous drug abusers (IVDAs) with vascular complications were assessed. RESULTS: Sixty-two patients presented with swelling and tenderness in the groin, and 3 patients with similar lesions in the cubital fossa. Infected pseudoaneurysms and deep vein thrombosis (DVTs) were diagnosed in 41 and 31 patients respectively (27 patients had both lesions)...
October 2006: European Journal of Vascular and Endovascular Surgery
S A Naqi, H M Khan, S Akhtar, T A Shah
PURPOSE: To present a series of patients presenting with femoral pseudoaneurysm. RESULTS: Seventeen patients who presented with a femoral pseudoaneurysm during a 1 year period were included in this study. Parenteral drug abuse was the most common aetiological factor. The femoral artery was most commonly involved at its bifurcation. Sixteen patients (94%) had excision of the pseudoaneurysm with ligation of vessel and debridement without any revascularization and one patient (6%) had reverse saphenous grafting after excision and ligation of vessels...
June 2006: European Journal of Vascular and Endovascular Surgery
Xiangyu Zhou, Yanzheng He, Ping Yuan
OBJECTIVE: To evaluate surgical treatment of infected pseudoaneurysm (PA) caused by injection of addictive drugs. METHODS: The clinical data of 17 cases of infected PA caused by drug injection were reviewed retrospectively. Of them, 1 case was female, and the other 16 cases were male, aging 24-38 years. The locations were brachial artery in 1 case and femoral artery in 16 cases. Fourteen cases were treated by artificial blood vessel transplantation after resection of the aneurysm and radical debridement, 1 case by amputation for serious infection, and 2 cases by non-operation for different reasons...
August 2005: Chinese Journal of Reparative and Reconstructive Surgery
Jian-wen Li, San-ming Wang, Xiao-dong Chen
OBJECTIVE: To study surgical management for patients with femoral pseudoaneurysm resulting from addictive drug injection. METHODS: Clinical data of 34 patients with femoral pseudoaneurysm resulting from addictive drug injection were retrospectively reviewed. RESULTS: Thirteen patients underwent bypass graft (end to side) of external iliac artery and superficial femoral artery using expanded polytetrafluoroethylene (ePTFE). Three patients who had an autogenous saphenous vein graft in situs, one of whom was then performed an ePTFE graft when rupture and bleeding occurred at the anastomotic site...
August 2004: Chinese Journal of Traumatology
S Manekeller, R H Tolba, S Schroeder, H Lauschke, J Remig, A Hirner
BACKGROUND: Intravenous drug abuse is a global social and health care problem. Vascular complications following intravascular inguinal self-injection of addictive drugs are rarely seen. An efficient therapeutic concept is needed because, besides the risk of vascular injuries, infections ranging up to systemic inflammatory response syndrome or sepsis might occur. METHODS: This was a single center retrospective analysis of vascular complications in drug addicts from 1994 to 2002 in an university hospital...
January 2004: Zentralblatt Für Chirurgie
Arunanshu Behera, Somasekhar R Menakuru, Ravul Jindal
BACKGROUND: Vascular complications resulting from i.v. drug abuse constitute a range of clinical problems from simple to serious. In addition, patients who present with these complications frequently have viral infections, which are a hazard to health care workers. PATIENTS AND METHODS: The present study is a retrospective review of 46 male drug addicts with 52 vascular complications (45 arterial, seven venous). Pseudoaneurysm of the femoral artery was the most common complication (n = 35)...
December 2003: ANZ Journal of Surgery
X Zhao, L Li, H Zhao
Drug addiction has been one of the serious social problems. The peripheral phlebitis caused by drug injection is common, but the occurrence of pseudoaneurysm with infection of femoral artery from injection injury was rarely reported in China. From January 1995 to March 1996, six cases of injury of femoral artery with infection from heroine injection were admitted. The characteristics of the injury were described. The therapeutic measures and details of attention to be needed were discussed. It was concluded that this type of injury was different from the injury caused in agricultural, industrial or traffic accidents...
November 1998: Chinese Journal of Reparative and Reconstructive Surgery
A C Ting, S W Cheng
Femoral pseudoaneurysm is a serious complication in drug addicts who habitually inject via the groin. A total of 33 drug addicts presenting with 34 infected femoral pseudoaneurysms were treated in the Department of Surgery, the University of Hong Kong, Queen Mary Hospital from July 1993 to June 1996. There were 27 men and 6 women, with ages ranging from 23 to 76 years (mean 39.6 years). Positive intraoperative tissue cultures were seen in 29 (85%), with 17 being pure growth of methicillin-sensitive Staphylococcus aureus (MSSA)...
October 1997: World Journal of Surgery
N Levi, P Rørdam, L P Jensen, T V Schroeder
OBJECTIVE: To evaluate the outcome of treatment of femoral pseudoaneurysms in drug addicts. METHODS: The records of eight patients undergoing vascular surgery for femoral pseudoaneurysms from substance abuse identified from a vascular database were reviewed. RESULTS: Were good in four out of five patients who had a primary vascular reconstruction. Two out of two patients who had a triple ligation of their aneurysms had claudication postoperatively...
April 1997: European Journal of Vascular and Endovascular Surgery
N D Levi-Mazloum, P Rørdam, M G Christensen
Four cases of femoral pseudoaneurysms from substance abuse are presented. One patient, a 32 year-old women needed amputation (by disarticulation of the hip) after failed revascularization. Another patient had symptoms of claudication after triple ligation and resection without bypass grafting. The last two had an uneventful recovery: one after saphenous vein bypass, the other after simple resection and repair with a vein patch.
May 1, 1995: Ugeskrift for Laeger
J E Johnson, C E Lucas, A M Ledgerwood, L A Jacobs
There has been an increase in the incidence of major vascular complications of intravenous drug addiction. We studied five patients who had infected venous pseudoaneurysms of the femoral vein. Patients may have cryptic sepsis or an infected hematoma from venous rupture. The vein containing pus may drain through a venipuncture site. Treatment is complete excision of the involved vein with packing of the wound. Complications due to septic embolization or metastatic infection from septicemia are common. Venous reconstruction is unwarranted...
September 1984: Archives of Surgery
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