Optimal management of infected femoral pseudo aneurysm in drug addicts presenting to Benazir Bhutto Hospital, Rawalpindi.

Abstract

Objective: To compare the outcomes of excision of pseudo aneurysm along with ligation and local debridement with the outcomes of excision of pseudo aneurysm along with ligation and revascularization in the management of infected femoral pseudo aneurysm among drug addicts. Study Design: Retrospective Analytic study. Setting: Surgical Unit-1, Benazir Bhutto Hospital, Rawalpindi. Period: July 2010 to July 2019. Material & Method: Among patients presented with pseudo aneurysm in Surgical Emergency and out patients department. Data was collected through medical record of the hospital. P-value less than 0.05 was set statistically significant. Results: Mean age and duration of addiction for study population were 36.50 years with SD of ±6 years and 2.80 years with SD of ±0.90 years respectively. All enrolled participants were males (100%). Heroine (76%) was the most common used by addicts while other drugs included benzodiazepine (12%), amphetamine (8%), and cocaine (4%). Left sided femoral artery (70%) was more involved in pseudo aneurysm as compare to right sided femoral artery (30%). Post operative adverse events percentage for ligation without revascularization was 22.72%, whereas, it was 100% for ligation with revascularization. Mortality was 0% for excision with ligation and local debridement while it was 50% for excision with ligation and revascularization. Conclusion: For the optimal management of infected femoral pseudo aneurysm, excision with ligation and local debridement is effective in comparison to excision with ligation and revascularization among addicts.