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

Deepak Thapa Magar; Kiran Shrestha; Dinesh Chapagain; Kumar Shrestha; Sara Thapa

doi:10.33545/surgery.2020.v4.i3f.516

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.

DOI: 10.33545/surgery.2020.v4.i3f.516

Pages: 337-340 | 1154 Views 516 Downloads

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

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

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