caa a22 4500 606247394 CHVBK 20210128101345.0 cr unu---uuuuu 210128e20151201xx s 000 0 eng 10.1007/s12262-013-0939-8 doi (NATIONALLICENCE)springer-10.1007/s12262-013-0939-8 Peripheral Arterial Pseudoaneurysms—a 10-Year Clinical Study [Elektronische Daten] [Anil Luther, Amit Kumar, Kamal Negi] Peripheral arterial pseudoaneurysms are quite common in Northern India (Punjab Province) and thus a common presenting complaint of varied etiology. The objective of this study was to evaluate the clinical outcome of patients presenting with peripheral arterial pseudoaneurysms of varied etiology. Retrospective analysis of medical records of patients with diagnosis of peripheral arterial pseudoaneurysm from 1 May 2001 to 30 October 2009 was done. In the prospective period from 1 November 2009 to 30 April 2011, the patients were personally examined by the authors and followed up till discharge from the hospital and subsequently at 2weeks, 1month, 3months, and 6months postdischarge from the hospital. We studied 50 patients (13 in the prospective group and 37 in the retrospective study group). Intravenous drug abuse (26 cases) followed by trauma (nine cases) was the commonest etiology. Femoral artery was the commonest artery involved (37 cases). A pulsatile mass with localized tenderness was the commonest presentation. All patients underwent surgical treatment with 36 (72%) patients undergoing ligation and excision of the pseudoaneurysm. Six (12%) patients underwent revascularization with reverse saphenous vein graft. Five (10%) patients underwent primary repair, and three (6%) patients were managed by putting a synthetic ePTFE graft. Postoperative wound infection was seen in 18 (36%) patients, and 33 (66%) patients had an uneventful recovery. In pseudoaneurysms, surgical repair at the early instance carries a favorable prognosis. If feasible, reverse saphenous vein grafting is the best conduit for repair. Synthetic vascular graft (ePTFE) can be used in case autologous saphenous vein is not available. Excision and ligation is safe, and we recommend it as the treatment of choice for infected arterial pseudoaneurysms. Association of Surgeons of India, 2013 Pseudoaneurysm nationallicence IV drug abuse nationallicence Ligation nationallicence Luther Anil Department of Surgery, Christian Medical College and Hospital, 141008, Ludhiana, Punjab, India aut Kumar Amit Department of Surgery, Christian Medical College and Hospital, 141008, Ludhiana, Punjab, India aut Negi Kamal Department of Surgery, Christian Medical College and Hospital, 141008, Ludhiana, Punjab, India aut Indian Journal of Surgery Springer India 77(2015-12-01), 603-607 0972-2068 77<603 2015 77 12262 https://doi.org/10.1007/s12262-013-0939-8 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s12262-013-0939-8 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Luther Anil Department of Surgery, Christian Medical College and Hospital, 141008, Ludhiana, Punjab, India aut NATIONALLICENCE 700 1- Kumar Amit Department of Surgery, Christian Medical College and Hospital, 141008, Ludhiana, Punjab, India aut NATIONALLICENCE 700 1- Negi Kamal Department of Surgery, Christian Medical College and Hospital, 141008, Ludhiana, Punjab, India aut NATIONALLICENCE 773 0- Indian Journal of Surgery Springer India 77(2015-12-01), 603-607 0972-2068 77<603 2015 77 12262