Emergency Stent Grafting After Unsuccessful Surgical Repair of a Mycotic Common Femoral Artery Pseudoaneurysm in a Drug Abuser

Journal Article · Sun Mar 15 04:00:00 EDT 2009 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S00270-008-9401-X· OSTI ID:21450294

Lupattelli, Tommaso ^[1]; Garaci, Francesco Giuseppe ^[2]; Basile, Antonio ^[3]; Minnella, Daniela Paola; Casini, Andrea; Clerissi, Jacques ^[1]

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1. Multimedica IRCCS, Department of Interventional Radiology (Italy)
2. University of Tor Vergata, Department of Radiology and Interventional Radiology (Italy)
3. Ospedale Ferrarotto, Department of Diagnostic and Interventional Radiology (Italy)

Mycotic false aneurysm caused by local arterial injury from attempted intravenous injections in drug addicts remains a challenging clinical problem. The continued increase in drug abuse has resulted in an increased incidence of this problem, particularly in high-volume urban centres. In the drug-abusing population, mycotic arterial pseudoaneurysms most often occur because of missed venous injection and are typically seen in the groin, axilla, and antecubital fossa. Mycotic aneurysms may lead to life-threatening haemorrhage, limb loss, sepsis, and even death. Any soft-tissue swelling in the vicinity of a major artery in an intravenous drug abuser should be suspected of being a false aneurysm until proven otherwise and should prompt immediate referral to a vascular surgeon for investigation and management. We report a case of rupturing mycotic pseudoaneurysm of the left common femoral artery treated by surgical resection followed by vessel reconstruction with autologous material. Unfortunately, at the time of discharge a sudden leakage from the vein graft anastomosis occurred, with subsequent massive bleeding, and required emergent endovascular covered stenting. To the best of our knowledge, this is the first reported case of femoral artery bleeding in a drug abuser treated by stent graft placement.

• OSTI ID: 21450294
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 2 Vol. 32; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
BLOOD VESSELS
BODY
CARDIOVASCULAR SYSTEM
DISEASES
DRUG ABUSE
GRAFTS
INJECTION
INJURIES
INTAKE
INTRAVENOUS INJECTION
MEDICINE
ORGANS
SURGERY
TRANSPLANTS