Fiddes R, Khattab M, Abu Dakka M, Al-Khaffaf H, et al.
The surgeon : journal of the Royal Colleges of Surgeons of Edinburgh and Ireland. Date of publication 2010 Dec 1;volume 8(6):353-61.
1. Surgeon. 2010 Dec;8(6):353-61. doi: 10.1016/j.surge.2010.07.006. Epub 2010 Aug 5.
Patterns and management of vascular injuries in intravenous drug users: a
literature review.
Fiddes R(1), Khattab M, Abu Dakka M, Al-Khaffaf H.
Author information:
(1)Vascular unit, Burnley General Hospital, Casterton Avenue, BB10 2PQ, East
Lancashire Hospitals Trust, UK.
BACKGROUND: Intravenous drug use is becoming an increasing problem in today's
society causing an enormous socio-economic burden. Any intravenous injection will
carry a risk of vascular injury. However, this risk will be significantly
increased with repeated injections. With ongoing injection drug misuse,
individuals are at risk of serious complex vascular injuries that can masquerade
as simple illnesses.
METHODS: A comprehensive Medline search was conducted to identify key articles
related to vascular injuries in intravenous drug users (IVDUs).
RESULTS: Numerous arterial and venous injuries have been described as a result of
intravenous drug use. This article reviews the literature to identify appropriate
management of the peripheral vascular injuries encountered more and more often in
this group of patients. Recommendations for investigation and treatment are made.
CONCLUSION: Intravenous drug users are notoriously difficult to treat and present
late in the course of their illnesses. Despite management problems, it is
important to have a high index of suspicion for serious vascular problems.
Education and awareness of both patients and health care professionals may lead
to earlier diagnosis and treatment of these conditions which carry significant
morbidity and mortality.
Copyright © 2010 Royal College of Surgeons of Edinburgh (Scottish charity number
SC005317) and Royal College of Surgeons in Ireland. Published by Elsevier Ltd.
All rights reserved.
DOI: 10.1016/j.surge.2010.07.006
PMID: 20950775 [Indexed for MEDLINE]
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