Management of femoral artery pseudoaneurysm due to addictive drug injection.
OBJECTIVE
To study surgical management for patients with femoral pseudoaneurysm resulting from addictive drug injection.


METHODS
Clinical data of 34 patients with femoral pseudoaneurysm resulting from addictive drug injection were retrospectively reviewed.


RESULTS
Thirteen patients underwent bypass graft (end to side) of external iliac artery and superficial femoral artery using expanded polytetrafluoroethylene (ePTFE). Three patients who had an autogenous saphenous vein graft in situs, one of whom was then performed an ePTFE graft when rupture and bleeding occurred at the anastomotic site. Color Doppler image showed patent grafted blood vessels in all the patients after operation. Eighteen patients had their femoral arteries ligated. Limbs of all the 34 patients were saved.


CONCLUSIONS
Ligating femoral artery is an effective way to treat femoral artery pseudoaneurysm if autogenous saphenous vein graft or artificial vessel graft is not applicable.
Department of Vascular Surgery, Affiliated Hospital of Guangdong Medical College, Zhanjiang 524023, China. winwsm@tom.com
Jian-wen
JW
Li
San-ming
SM
Wang
Xiao-dong
XD
Chen
D000293:Adolescent; D000328:Adult; D017541:Aneurysm, False / Q000209:etiology* / Q000601:surgery*; D005260:Female; D005263:Femoral Artery / Q000293:injuries*; D006801:Humans; D008297:Male; D015819:Substance Abuse, Intravenous / Q000150:complications*; D016896:Treatment Outcome