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Femoral pseudoaneurysms in drug addicts.

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. One patient presenting with thrombosis had a hip-exarticulation following an unsuccessful thrombectomi. No death occurred in this series.

CONCLUSION: Revascularisation at the time of resection of the pseudoaneurysm offers better prospects for limb function.

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