Abstract
Introduction The management of infected femoral pseudoaneurysms due to local injury after drug injection is a challenging debatable armamentarium. Patients and methods Twenty patients presented with infected pseudoaneurysm of the femoral artery due to recreational drug injection. Measurement of stump pressures (SPs) in the femoral arteries intraoperatively was done in all patients after ligation. Results All patients were men with a mean age of 36.9 years. The mean SP was 54.85 mmHg. SP was less than 60 mmHg in eight patients in whom transobturator bypass was mandatory to be performed. SP was at least 60 mmHg in 12 patients who underwent ligation without any trial of subsequent revascularization. Conclusion SP measurement in the superficial femoral artery is a good indicator for the need of revascularization after femoral artery ligation in patients with infected femoral pseudoaneurysms due to recreational drug injection.
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