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Clinical manifestationsPeripheral Arterial Disease (PAD) manifests through a range of symptoms, from the characteristic intermittent claudication to atypical presentations and severe complications in advanced stages. Intermittent claudication, a hallmark symptom of PAD, presents as exercise-induced muscle pain that typically resolves within minutes of rest. This pain is reproducible and stems from inadequate blood flow, leading to the accumulation of lactic acid produced during anaerobic...
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Peripheral Artery Disease I: Introduction01:30

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Peripheral artery disease (PAD) predominantly results from atherosclerosis, which involves the accumulation of fatty deposits, or plaques, within the walls of arteries. This causes them to narrow and harden, significantly reducing blood flow. PAD predominantly affects the legs, particularly the arteries supplying the thighs and calves. In rare cases, it may involve other arteries, including those in the arms.Etiology of PAD:The principal cause of PAD is atherosclerosis, which results from fatty...
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Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
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Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
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Atherosclerosis is a progressive disorder that leads to the thickening and narrowing of arterial walls due to plaque buildup. This condition can cause various symptoms depending on the arteries affected:Coronary Artery Disease (CAD): This condition affects the coronary arteries and may lead to chest pain (angina), shortness of breath (dyspnea), heart attacks, and other heart disease symptoms.Cerebrovascular Disease: This affects blood flow to the brain, causing transient ischemic attacks (TIAs)...
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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Peripheral Arterial Pseudoaneurysms-a 10-Year Clinical Study.

Anil Luther1, Amit Kumar1, Kamal Nabh Rai Negi1

  • 1Department of Surgery, Christian Medical College and Hospital, Ludhiana, 141008 Punjab India.

The Indian Journal of Surgery
|January 6, 2016
PubMed
Summary

Peripheral arterial pseudoaneurysms, common in Northern India, require prompt surgical repair for favorable outcomes. Reverse saphenous vein grafting is preferred, with excision and ligation recommended for infected cases.

Keywords:
IV drug abuseLigationPseudoaneurysm

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Area of Science:

  • Vascular Surgery
  • Surgical Outcomes
  • Public Health (India)

Background:

  • Peripheral arterial pseudoaneurysms are prevalent in Northern India, presenting diverse etiologies.
  • Common causes include intravenous drug abuse and trauma.
  • Femoral artery involvement is most frequent, often presenting as a pulsatile mass.

Purpose of the Study:

  • To evaluate the clinical outcomes of patients with peripheral arterial pseudoaneurysms.
  • To assess the effectiveness of different surgical management strategies.
  • To identify optimal treatment approaches based on etiology and presentation.

Main Methods:

  • Retrospective analysis of medical records (2001-2009) and prospective follow-up (2009-2011).
  • Study included 50 patients with peripheral arterial pseudoaneurysms.
  • Surgical interventions included ligation/excision, revascularization with vein grafts, primary repair, and synthetic grafts.

Main Results:

  • 72% underwent ligation and excision; 12% had revascularization with reverse saphenous vein graft.
  • Postoperative wound infection occurred in 36% of patients.
  • 66% of patients experienced an uneventful recovery.

Conclusions:

  • Early surgical repair of pseudoaneurysms leads to favorable prognosis.
  • Reverse saphenous vein grafting is the preferred method for repair when feasible.
  • Excision and ligation is a safe and recommended treatment for infected arterial pseudoaneurysms.