Vol. 4, Issue 3, Part F (2020)

Outcome of ligation of peripheral arterial pseudo aneurysm with or without revascularization in intravenous drug abuser

Author(s):

Deepak Thapa Magar, Kiran Shrestha, Dinesh Chapagain, Kumar Shrestha and Sara Thapa

Abstract:
Background: Current treatment options of pseudo aneurysm in intravenous drug abuser (IVDA) include either excision of pseudo aneurysms sac with only ligation or with routine revascularization.
Methods: This is a retrospective study of 53 patients over a period of 14 years done in Bir hospital where we describe the management of the pseudo aneurysm either with ligation only or with revascularization.
Results: Out of total 53patients, 43 (81.13%) were male and 10 (18.87%) were female. Ligation of the artery of the pseudo aneurysm in 42 (80.77%) cases and revascularization in 10 (19.23%) cases were done. Post-surgery claudication pain was in 9 (17.31%) cases, thrombosed and infected grafts in 9 (17.31%) cases. However there was no case of amputation and mortality.
Conclusion: Ligation and debridement of pseudo aneurysm is a simple, safe and effective procedure with minimal morbidity in IVDA.

Pages: 337-340  |  1505 Views  624 Downloads



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How to cite this article:
Deepak Thapa Magar, Kiran Shrestha, Dinesh Chapagain, Kumar Shrestha and Sara Thapa. Outcome of ligation of peripheral arterial pseudo aneurysm with or without revascularization in intravenous drug abuser. Int. J. Surg. Sci. 2020;4(3):337-340. DOI: https://doi.org/10.33545/surgery.2020.v4.i3f.516