Short Report
Femoral Pseudoaneurysm in Drug Addicts—Excision without Revascularization is a Viable Option

https://doi.org/10.1016/j.ejvs.2005.12.011Get rights and content
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Abstract

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. Four amputations (23%) were performed. Three (17%) were major limb amputations, which included one above knee and two below knee amputations. Four patients (23%) developed intermittent claudication.

Conclusion

Excision of the pseudoaneurysm with ligation of vessels and wide debridement without immediate revascularization in infected pseudoaneurysms is a safe and effective treatment.

Keywords

Pseudoaneurysm
Drug addiction
Amputation

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