scholarly journals INCIDENCE AND DETERMINANTS OF LOWER LIMB SALVAGE FOLLOWING ARTERIAL LIGATION IN INFECTED PSEUDOANEURYSM IN INTRAVENOUS DRUG ABUSERS

2020 ◽  
Vol 71 (4) ◽  
pp. 995-1007
Author(s):  
Abdelrahman Ahmad ◽  
Mostafa Abd El Bary ◽  
Amr Kamel
Keyword(s):  
Limb Salvage ◽  
Lower Limb ◽  
Intravenous Drug ◽  
Drug Abusers ◽  
Arterial Ligation ◽  
Infected Pseudoaneurysm ◽  
Intravenous Drug Abusers

scholarly journals Infected Pseudoaneurysm in a Tertiary Centre: A Retrospective Audit

2020 ◽  
Vol 18 (2) ◽  
Author(s):  
Sanjay DS ◽  
G Dhayalan ◽  
Abdul Rahman MNA ◽  
Othman F
Keyword(s):  
Multiorgan Failure ◽  
Intravenous Drug ◽  
Hiv Positive ◽  
Drug Abusers ◽  
Complication Rates ◽  
Tertiary Centre ◽  
Retrospective Audit ◽  
Infected Pseudoaneurysm ◽  
Male Patients ◽  
Intravenous Drug Abusers

Introduction: Infected pseudoaneurysms among intravenous drug abusers are a serious clinical condition that carries significant morbidity and mortality. The management of such cases has been controversial on deciding the need of revascularisation following simple ligation and local debridement. In this audit, we present the results of simple ligation and local debridement of our patients with infected pseudoaneurysm. Materials and methods: We conducted a retrospective review from 2013 to 2018 on 15 of our patients who are intravenous drug abusers that underwent simple ligation and local debridement for an infected pseudoaneurysm. Results: All 15 patients underwent simple ligation and local debridement. They were all male patients, and majority of the patients were between group ages of 30-40 years old at 66.7%. The oldest patient was 63 years old. All the patients self-injected the affected site for a minimum duration of 36 months. 73% of the patients had femoral pseudoaneurysm, making it the most common affected site in our audit. The remaining patients had axillary and radial pseudoaneurysm and none of our patients had brachial pseudoaneurysms. Majority of our patients were underlying Hepatitis C at 46.7%, 2 of our patients were HIV positive and only one had Hepatitis B. The remaining 5 patients’ statuses were unknown. In accessing the complications, two patients had re-bleeding after the procedure and were eventually discharged well and were uneventful. One patient required amputation as he developed a gangrenous limb within the same admission after ligation and excision of the infected pseudoaneurysm. There were two deaths due to sepsis with multiorgan failure. 10 patients were discharged well without any complications after surgery. Conclusion: Infected pseudoaneurysms can be safely managed with simple ligation and local debridement without revascularisation as they pose acceptable complication rates.

Risks of human immunodeficiency and hepatitis B viral infections in intravenous drug abusers

1988 ◽  
Vol 148 (5) ◽  
pp. 263-265 ◽  
Author(s):  
Mary‐Louise McLaws ◽  
Joseph McGirr ◽  
William Croker ◽  
David A. Cooper
Keyword(s):  
Hepatitis B ◽  
Viral Infections ◽  
Intravenous Drug ◽  
Drug Abusers ◽  
Intravenous Drug Abusers

HTLV-III ANTIBODY IN SWISS AND ENGLISH INTRAVENOUS DRUG ABUSERS

The Lancet ◽  
1985 ◽  
Vol 326 (8452) ◽  
pp. 449-450 ◽  
Author(s):  
P.P. Mortimer ◽  
E.M. Vandervelde ◽  
W.J. Jesson ◽  
M.S. Pereira ◽  
F. Burkhardt
Keyword(s):  
Intravenous Drug ◽  
Drug Abusers ◽  
Intravenous Drug Abusers

Surgical Management of Infected Pseudoaneurysms in Intravenous Drug Abusers: Single Institution Experience and a Proposed Algorithm

2009 ◽  
Vol 33 (9) ◽  
pp. 1830-1835 ◽  
Author(s):  
Ker-Kan Tan ◽  
Kenneth Chen ◽  
Kok-Hoong Chia ◽  
Chee-Wei Lee ◽  
Sanjay Nalachandran
Keyword(s):  
Surgical Management ◽  
Intravenous Drug ◽  
Drug Abusers ◽  
Single Institution ◽  
Intravenous Drug Abusers
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