Outcome of ligation of peripheral arterial pseudo aneurysm with or without revascularization in intravenous drug abuser

Abstract

Background: Current treatment options of pseudo aneurysm in intravenous drug abuser (IVDA) include either excision of pseudo aneurysms sac with only ligation or with routine revascularization. Methods: This is a retrospective study of 53 patients over a period of 14 years done in Bir hospital where we describe the management of the pseudo aneurysm either with ligation only or with revascularization.Results: Out of total 53patients, 43 (81.13%) were male and 10 (18.87%) were female. Ligation of the artery of the pseudo aneurysm in 42 (80.77%) cases and revascularization in 10 (19.23%) cases were done. Post-surgery claudication pain was in 9 (17.31%) cases, thrombosed and infected grafts in 9 (17.31%) cases. However there was no case of amputation and mortality.Conclusion: Ligation and debridement of pseudo aneurysm is a simple, safe and effective procedure with minimal morbidity in IVDA.