Background:

In intravenous drug-infected femoral pseudoaneurysms, primary ligation for treatment is controversial, but the compromised territory can remain irrigated by collateral routes.

Objective:

To report the experience in the management of pseudoaneurysms in our angiology and vascular surgery service.

Methods:

Observational, descriptive study of a series of cases.

Results:

15 patients are reported, male: female ratio 14:1, average age 42 years. Seven (46.6%) presented with a left femoral pseudoaneurysm, 5 (33.3%) presented with a right femoral pseudoaneurysm, 2 (13.3%) with a right brachial pseudoaneurysm, and one (6.6%) with a left brachial pseudoaneurysm. In 12, exclusion of the pseudoaneurysm was performed with triple ligation; 3 patients underwent revascularization.

Conclusions:

In our experience the primary ligature without revascularization has a low incidence of amputation and high survival of affected patients, being claudication the most frequent sequel.