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Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
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Related Experiment Video

Updated: Jul 9, 2026

Microsurgical Creation of Giant Bifurcation Aneurysms in Rabbits for the Evaluation of Endovascular Devices
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Infected upper extremity aneurysms: a review.

Luis R Leon1, Shemuel B Psalms, Nicos Labropoulos

  • 1Southern Arizona Veteran Affairs Health Care System (SAVAHCS) - Vascular Surgery Section, Tucson, Arizona, USA. luis.leon@va.gov

European Journal of Vascular and Endovascular Surgery : the Official Journal of the European Society for Vascular Surgery
|December 14, 2007
PubMed
Summary
This summary is machine-generated.

Mycotic aneurysms in upper extremity arteries are rare but serious infections. Intravenous drug abusers are a high-risk group, with prompt surgical intervention leading to favorable outcomes.

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Area of Science:

  • Vascular Surgery
  • Infectious Diseases
  • Medical Literature Review

Background:

  • Mycotic aneurysms, infections of arterial walls, are infrequently documented in the upper extremities.
  • These aneurysms pose significant risks, particularly to the brachial and axillary arteries.

Purpose of the Study:

  • To comprehensively review the incidence and characteristics of mycotic aneurysms in the upper extremity arteries.
  • To identify risk factors, causative organisms, and treatment outcomes for these rare vascular infections.

Main Methods:

  • A systematic literature review was conducted using MEDLINE (1950-2007) and manual searches of bibliographies.
  • Analysis included cases involving arteries distal to the subclavian artery, identifying 149 cases from 68 papers.

Main Results:

  • The brachial artery was the most commonly affected site, frequently linked to intravenous drug abuse, catheterization, or endocarditis.
  • Arterial trauma, including drug abuse and catheterization, emerged as the leading cause since 1950.
  • Gram-positive organisms were the predominant pathogens identified.

Conclusions:

  • Infected upper extremity aneurysms are rare, with intravenous drug abusers representing a distinct high-risk population.
  • Early surgical management, including arterial ligation, primary repair, or autogenous reconstruction, is associated with positive patient outcomes.