Arterial ligation for the treatment of infected groin pseudoaneurysm in intravenous drug abusers

Document Type : Original Article

Authors

1 Vascular surgery unit, portsaid faculty of medicine

2 vascular surgery unit, faculty of medicine, suez canal university

Abstract

Background: Abuse of IV drugs is a global sociomedical issue. The common femoral artery might be accidently punctured when injecting illegal narcotics at the femoral triangle. Constant risk associated with iv drug misuse is problems of the vascular system. This study discussed the outcomes of arterial ligation in intra venous drug abusers presented with infected groin pseudoaneurysm
Methods: retrospective study of all consecutive patient with infected groin pseudoaneurysm in IV drug abusers admitted to vascular and endovascular surgery departments in Egypt healthcare authority hospitals and underwent arterial ligation with follow up of limb salvage and mortality in these patient and any complications.
Results: 20 patients included in this study, Hemorrhage was reported in 55% of them. With median 3.6 years’ period of injection, a 4 sites for injection were identified intraoperative (EIA, CFA, SFA and CFA with SFA or PFA). Single ligation done in 70% of patients. With a median follow up period of 10 months we reported limb salvage in 90% of the cohort and critical limb ischemia and severe necrosis in only 2 patients (10%) which led to above knee amputation.
Conclusion: IGP in IV drug abusers present a major dilemma. Apart from the debates surrounding the most effective approach for treatment, managing this patient population is frequently impeded by noncompliance. We suppose that management of IGP could be done safely and successfully with affected artery ligation without revascularization since most patients won't experience claudication symptoms and many will avoid amputation.

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Medicine Updates
Volume 19, Issue 19
October 2024
Pages 100-107

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