A drug abuser developed pseudoanerysm. What of the following is/are should include in the treatment modalties
Treatment of Pseudoaneurysm USG guided compression is the first therapeutic maneuver in Non-invasive vascular technology. Although it is safe but efficacy is modest and the procedure is uncomfoable for patient and provider Injection of thrombin into the pseudoaneurysm under duplex ultrasound guidance has not replaced compression as treatment for pseudoaneurysm. This technique is safe and effective. It reduces physical effo and time requirements for the technologist and is significantly less uncomfoable for patient. As spontaneous resolution of pseudoaneurysm has a low incidence, surgical repair is the main therapy and gold standard therapy Treatment of pseudoaneurysm In IV drug abusers Ligation is optimal treatment for infected pseudoaneurysm because it is easy, safe and cost effective (in IV drug abuser there is high chance of infection) Reconstruction is not recommended because of extension of infection at location of pseudoaneurysm and at aificial graft site Ref: Rutherford vascular surgery 6th edition volume 2 Pgno : 248-249
Ligation of involved vessel & wide surgical debridement
Exposure & ligation with subsequent revascularisation
Direct interposition graft with synthetic material in groin for revascularisation
Direct interposition graft with autogenous graft
Vascular surgery