Surgical treatment of the infected femoral pseudoaneurysm caused by injection of heroin
- VernacularTitle:注射海络因所致感染性假性股动脉瘤的外科治疗
- Author:
Zhuanghong WU
;
Shenming WANG
;
Xiaoxi LI
;
Jinsong WANG
;
Xueling HUANG
- Publication Type:Journal Article
- Keywords:
ANEURYSM, INFECTED/surg;
PSEUDOANEURYSM/surg;
FEMORAL ARTERY;
HEROIN DEPENDENCE
- From:
Chinese Journal of General Surgery
1997;0(06):-
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the surgical treatment of infected femoral pseudoaneurysm caused by injection of heroin. Method Retrospective analysis was made on the clinical data of 14 cases of infected ruptured femoral pseudoaneurysm caused by injection of heroin. Results All 14 cases underwent operation. The ruptured sizes of arteries were 0.5 cm-2.0 cm . All cases were treated by resection of the aneurysm and replacement of iliac-femoral artery with artificial graft. Blood supply and function were good in all limbs after operations. Aneurysm cavities and incision wounds were treated with debridement, drainage and anti-infective treatment. All wounds were healed. 2 weeks and 3 months after operation, the grafts were patency demonstrated by Color Doppler examination. None of them was complicated with anastomosis leakage or thrombosis. Conclusion Thorough debridement of aneurysms and reconstruction of the artery are the effective approach in treating the infected ruptured femoral pseudoaneurysm caused by injecting heroin. Sufficient drainage, anti-infective and anti-coagulation therapy should be considered after the operation.
