Surgical approach to vascular complications of intravenous drug abuse

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
R-A YeganeM Hojjati

Abstract

To assess the complications related to intravenous drug abuse. Prospective study. Intravenous drug abusers (IVDAs) with vascular complications were assessed. Sixty-two patients presented with swelling and tenderness in the groin, and 3 patients with similar lesions in the cubital fossa. Infected pseudoaneurysms and deep vein thrombosis (DVTs) were diagnosed in 41 and 31 patients respectively (27 patients had both lesions). In patients with infected pseudoaneurysms, 9 patients underwent excision with early revascularization and 32 patients underwent ligation without revascularization. For all patients with femoral vein thrombosis ligation and excision was performed. 4 patients with pure DVTs were managed conservatively. Disabling claudication occurred in 6 patients. Four of them underwent late revascularization with an acceptable outcome. Ligation without revascularization is the appropriate treatment of infected pseudoaneurysms in IVDAs. Late revascularization is of great importance in patients with disabling claudication after treatment of addiction. Pure septic DVTs can be managed conservatively.

References

Feb 1, 1987·Radiology·L E Albertyn, M K Alcock
Aug 1, 1982·Southern Medical Journal·R N GarrisonD E Fry
Nov 5, 1997·World Journal of Surgery·A C Ting, S W Cheng
Mar 18, 2000·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·I A BinswangerB R Edlin
Mar 23, 2000·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·J P GanJ G Pollock
Jul 24, 2001·MMWR. Morbidity and Mortality Weekly Report·UNKNOWN Centers for Disease Control and Prevention (CDC)
Mar 6, 2003·Journal of Vascular Surgery·Andrew L TambyrajaJ A Murie
Mar 26, 2003·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Gisbert GehlingDierk Werner
Nov 25, 2003·ANZ Journal of Surgery·Arunanshu BeheraRavul Jindal
Mar 12, 2004·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·M G A NorwoodR D Sayers
Nov 8, 2005·Lancet·Raymond W M Ng, George K H Li

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Citations

Nov 10, 2013·Annals of Vascular Surgery·Muhamet DeveciogluSergueï Malikov
Mar 31, 2009·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·T A PartanenJ Vuola
May 11, 2010·Chinese Medical Sciences Journal = Chung-kuo I Hsüeh K'o Hsüeh Tsa Chih·Ji-Dong WuFurtado Rui
Oct 16, 2016·Circulation·Walter R WilsonUNKNOWN American Heart Association Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease of the Council on Cardiovascular
Jul 16, 2019·The American Journal of Forensic Medicine and Pathology·Silvia TrottaBiagio Solarino
Aug 20, 2019·European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery·Daniel BeckerVladimir Makaloski

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