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Revista mexicana de angiología
versión On-line ISSN 2696-130Xversión impresa ISSN 0377-4740
Resumen
HERNANDEZ-HURTADO, Omar A. et al. Pseudoaneurysms in intravenous drug users. Rev. mex. angiol. [online]. 2023, vol.51, n.3, pp.77-84. Epub 25-Sep-2023. ISSN 2696-130X. https://doi.org/10.24875/rma.23000012.
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.
Palabras llave : Femoral pseudoaneurysm; Arterial ligation; Intravenous drug use.