!"#$ % &
!"0 10 2 $ ,
of Medical Sciences & Health Services
1383 Vol. 4, No.13, Sep-Dec 2004
"'3
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
.#d C D 0 8 +, 6%7 4 S , ; < = > ? " 10 1 C 0 e% !"E 0 8 +, N 8 N .0 I"=% HI"f,%+ HM % !g h !0 : 8 +, " C [_ .0 ; . = %""i %"B , I"f ; ; . = < = h N !X ? 5 ] & [ . !$ h 6%7 4 N :,% 5 D"E 0 2O'* , 5 N "T ! 0 . I N _ ,% ! :,% 5 H H( ' C, 0 0 \ ; C, 0 0 " ,% 8 , % > "= 0 (% ;= 0 . 5 I 0 . "0 ,O 0 !g ,% , 8 + ; [ F0 DD . G % HIV 8 %0 8 %F$ . ;" W+ 10 C D J 0 . 8 + "j" D"E 0 .#d % ; C ? %G 8 %0 I .#d I , ; < = > ? . , ;"E # H. 0 0 A#B C "0 , DD . G % ; , S " , % I C . k la / l % ; ] o [. . N 6 + .0 D"E 0 H 0 . ; C DD 6%7 4 p_ ;E ? . 0 H;"E # O C, 0 0 0 1 E %F$ . DD . G % ( q,% N ' 8, 8 H> C " "E _ H[ % 8 % $ H E 0 ( , "0 2 "? 1 , K" W . N 1 .#d ^ ? , !$ ; C %0 I"0 4 .#d I , ; ( 2 "? DD 6%7 (%= I % 0 , ; % [ !$ 8 + 0 A#B H; D3 C N,%' ; D !'* #"$ .#d , 0 % + 0,%'" . ;"+ !"E 0 ; I' ( ^ ? , ; >% D _ % Y C ' ? .0 ; , k 0%" , r% 0 . . O 0 8 % $ r 0 0 N%E , A , C $ *= ;= H , D D"E 0 V"U* , . G % $N " I"f,%+ h N ;=% %: ."0 > ? s%
.E !13 N % % !+ t Pu / v / &abo ; v H , D 8 % $ 0 A C $ *= ;= $N r 0 0 % + .E * % Y ; ; C . "0 Pw !_: N, . G % N cc P ; C .E * ."? q,% .0 I"f,%+ h ; 0 . !R . + N 0 ( 3 h H % \ , 8 %: . C .E * 5% x 0 P E y % 0 N, R ( , %+ ! ( , 0 % / H 0 . 8 RD " "0 I = C ' 0 . = I"0 N . 0 , z %""i 0 % + r 0 8 . + ; Y , D A 3 "0 , / C ; 8 _ N%E 0 % + 0 . r 0 ( . + 0 % , $N {F 8, ? R % 2 %3 0 , "0 ; I = %) H "0 . G % N, , A 0 % + . \ !R N , D > = 8 % $ ; . N%E . . , ? N "0 ' . 0 U .0 " !_: > > , N , . !_: I"f,%+ ) . N, cc u ( h + ( ~# U 8 + G .0 .0 x 0 . ; % cc P < = N, . = ; .€ "= 2 D € O ' C $ *= ! "? pulse / •c p_ H uPc K D H. ": yw 2 %? .G , . ": u / y‚ 0 % .G . ƒ H> ? 0 O ;" \, %Bk , % z 0 . . R # % z C % , % .D H; .D A#: H ; _g . = ' , . . ( .D : = 8 + H %' 2 !R !R ' , N,%_"= 0 % + ( , %+ % % ;"_#= 0 % + 2 p_ , ; RF 8 + K E ~" \ F0 1 8 + . ( .D R 8 + H C .E * N R ( , %+ Y %"B ( , ( O C *) G, ; . 8 ; ; C .E * ."? 0 .0 p_ , r 0 yc × Pc ƒ % C 8, ; 8 _ , N,%' 0 % + , A1 # ."_ 8 2 70 , , D 8 % $ 0 C * * D1G G, ; . f,%0 8, [ ) != ( [ . 8 + p_ , % ; ; 8 * , : K"E "_" , > . "# !0 : K E _ H K E ~" \ 2 70 …3 R ( E, . D"E 0 V"U* 0 , , % 8 *= 8 % $ !R .#X =O "? 2 : 8 (% H8%" r !"_: N K L , ."E, H % [" , < '" "0 ) C % H I" DG , I" D"# ( . , . g L H > # ;1G C $ HI"D" % H , HC $ 8 + ;"E,% 'E C $ ,% , C $ D: H + , > ] e % . "? N 0 "0 8 ƒ % ."E, , ! D ! q .0 ;=% %: $N C " #W , ? %G ! ;R . $N C " #W N !_: H C .E * 8k 0 N M "# q,% > ,% >% D ;=% 2 X KW , :,% >% D , N 0 % + > I" N > ;=% ( / . "? N 0 8 N 0 "0 = , ? 0 % + . UE 8 N wcc M%3 % * , ."#U 0 0 " 0 , N,%' Z C %0 . %0 H : C % > F0 M% * w % , 0 . = I"0 N , N,%' N _ ,% = , 0 . > T .0 q = C % &l t 0 " C % , . %0 % . 0 . > F0 I= X , ;= % KW uw I"0 I* N % D 2 70 , . %0 !0 6%T N % M "# C % , RF C % % N . * C , %= I"E > % 0 $N !"E 0 , G, ;= % < C ' O† ;= 0 G, ( . $, C 8, ; ‡ = , ; . N 0 K E !0 : ( 8 + p_ " % . $N . N, 2 0 "0 , C %0 , * C .E * uc ;=% %: '" "0 C ;R N, . N ;* , 6 8, ? %3 2 R % 0 E " %* . 2 * N %ˆ N "0 HBS-Ag , HIV 0 D . !R 8 ,% 3 "0 ! N 0 (, . + . 0 …3 ; C 8 , ;= % D+ N 0 , % ."#U uQ , V$% "0 N, , ) .0 " M% ;1G ' W S G .
‰R0
2k %0 > N Š 3 u‚‚c > Pccy C % N 8 F"R 8 + ,N 0 C % !g ; , > H 4 !"E 0 C % C S " I % *"0 . ; 0 8, 6%7 ] ‹ J o [. N N C % " ,% 4 ‡ C N , 6%7 C # & , > C ' + Pccc C ' .#/ ; % ] Œ [. Salman> N q,% ? %G .#/ u‚v• > PccP . ; % %) D3 ' % A" % .0 " ' 8 + S " % ,N 0 I" > d "# , H> H8%_D3 % N H ; 0 ] ŽH•Ha , b [. C , D+ N 8%) Q• 0 % wP > _ .0 :,% .\ . ; 6%7 4 Qw .\ , % • ; 0 8 , .\ . I I % [ C % :,% .\ , ; 0 • C % 8 + N ,N 0 ] • [. H. 0 0 C "0 A#B C ' + , f . E F , 0 % . G % ; , , ;"E # 0 % . e %0 %0 H ' "= .D H> ? s% H = % HI' , ? . ; 0 = % -&& "0 ) &• / l (% ,N 0 C % . D ) ‹ ( 8%_D3 % N H ) o ( > H ) o ( H ) & ( > d"# I" % , ) & ( 0 . ; %g A ; G, C "0 . . C 0 p_ < , %+ , ) N && ( G, ; . 0 . 8 % $ , ‰ 0 , . = ' . 0 C D 0 % . . G % ;" G ! S " ƒ , ? DD la / l % N I" U ] o [. C G . E F & > C ' + , &•b• D x , 3 "0 % . , ; 3 A#B C "0 ( + , 0 h !R N %3 ."#U D , N ] &l [. Johnson zD3 . E F o ? %G x C ' + , o& C % 3 "0 ;=% %: %0 I . b , RF M% * C % ‡ = &a 0 C % C .$ , !R . , C " , 1D C D 0 I 0 &• ( / %" N K 8 0 h %T N q,% 8N N 0 , ;=% % ‘ o / ( . & "0 . ; N 8k 0 C " W a .T 0% q,% 0 . 0 . , ! N 0 8 % $ &• I 0 , C " ! N 0 , D <)DE D . , C " . % ."X . E F I ƒ _ I 0 8 %0 0 U C , 0 C , ;? C "0 % 8 + 0 ] && [. D3 C % Š 3 2k %0 C " % > _ 0 C % I"?,%/ , C % !$ I"= h H % ‡ 0 . =% %: ? %G ! ;R . )DG , !\ = C ' + C % C ? %G . G ? %G %)D ;*1_ > uyvc % ] &o [. r N : V !"E 0 #_: :,% ."U0 ‡$ "_T . 8 + 8 + ! C % :,% #_: 8 + " % !R " + Y= 8 ,% .0 . ’ 8 C % C " % 0 . , !"E 0 , 0 C (%= I % [ " L,% < = > ? C % C " % 8 + 0 ] &o [ I + S I I"Dj + H 4 < = !"E 0 " 6%7 , ; < = > ? +, C DD Cheng
< = > ? " C :,% 5 ./" 0 ] &l [. C D 0 [ ƒ _ T .0 C .E * ."? :,% % ] & , &a [. 5 > "= H % 8 , N _ ,% ! :,% H8 , % H " ' (% ;= 0 5 , DD ;' ( + H , . 0 , (% ;= 0 ; H;"E # ! ; % , ;"#" d ! > #' 5 0 ] o [ . , 9 7$ .0 8 , ; 3 ; I' C "0 , ; [ 8 , N ( + 0 , %" . N ; I' 0 M%3 8, ? . 8 , ."#U M%3 h !R h %T . ! C 0 $N C % , %" , C " . %3 C " "E _ H W ! [ 5 " % , D + " ; % Y C ' 8 , ; " ] &l [. ;# ; I' ; N,%' ? ; 4 9 7U0 0 6%7 C D 0 q,% . 8 , !$ C DD !R :,% % 8 + . ; 0 #X ;# / F0 S %+ N ; 3 " $ h %T N . ’ . D"E 0 .#d 8 + D / C ? %G 8 %0 "j" , !'* D . ‰#g H 0 . q ~# U ! k " L,% ; ! . = ’ , C " % N > % 0 E .0 . C ;" CL + ; , , h > _ 0 ' ,% " ? " ,%# / . N / [ " ? " ,%#' ,% 8 + . ; " ; C .= \ ; . . 8 F + B # 8 + C "0 " L,% 2 \ I . ’ ; H + ; . 4 (%= I % 0 8 , !$ h C DD 6%7 . C % %\ ? > ? h 8 %0 . 8 ! M % H I"f,%+ , 0 I"= H " E, Pw 8, %"$ > [ I"f,%+ 0 , I"f 0 . ; I" % *"0 . Y ; . 2 !"E 0 .0 % !$ h + , 8 , !$ %' ‘ = 7 2 X .0 , 0 C 2 , / ;# + . D3 ; N,%' 8 + ; 2 I 0,%'" . 6 + C N ; 6Y? .0 ; I' . ; ( 2 "? ^ ? , _ % Y C ' ; ;"+ !"E 0 . C % 6%7 4 , F0 , 0 [" , K" W 0 % + k (% 8 + ;= 0 N 8 % $ , %F$ 0 [ N,%' ; % + C D . 0 C "0 I + ; (% ;= 0 8 + ) " = H.#† H; ( HN H % 0 H ; , H8 5 H " W , e,% , S 0 E I"Dj + 0 ~# U 8 + . , ;" W+ e,% , 9 7$ HIV DD . G % ] Œ [. ; e f , e #"= H e % , , 0 ;* ,%'" I % . 0 C "0 I S G K L , 2 7 . ; I' V"U* VU* , _ .0 N " ;* $ 8 + H E _ %0 8 %0 h": ' "= .D , % + ; , %0 H> 8 + 0 ! "= % - %0 8 % V"U* 0 . C " ' + G % 8 + . I % 1 ! G, ( G, C
; % + ; . 8 + C > X ! " 0 % + % ! C " ,%' , (% ;= 0 ( ! C %0 , ; C 6 %T 8N N 0 , " % ;1G 8%" " 7 CL , N 0 % ) 8 C " k ' , ( + , ; ( 2 "? ^ ? ;1G % C 0 % + N 8k 0 C " W ; + $ C " ' "0 2 "? ^ ? ;1G . D7 :,% ;= % N ) :,% ,% ( 0 ; %F$ !"E S D ; ;1G C , 8N N 0 N Z $ q,% " % . H N,%' , Z C %0 !"E 0 . 8 ; : > N % 8 + " % C ;1G .T "$ .#† > ,% (% ;= 0 < C % / %’ , = . $ + C 9 r V C ;1G 8 , .#X, N ] ŒHaHoH& , b [. ;1G N,%' 8 + ;= 0 , %3 2 R % . %= ( % "0 , ;* H(% 8 " z ."# %0 ~"FE [" , '" "0 < 0 , ,%'" ( , ! N !_: 8N + 0 , 8N + 8 + 2 .0 ! N 0 • uQ N, . (Nk ; %0 ;1G C "0 C $ . ;" W+ , N % Y$ . ; N , ( ' ? %G ! 5 N C C H ‡$ !R H :,% ;= % N _ ,% ; HC / 8 % $ , ."U0 ‡$ C N 0 H."U0 !R ( + H! !R . 0 / H :,% ;= % 0 ! !R 8 ,% , ] o , Ž [. .0 Y= 8 ,% 3 . "0 ( I %0 D0 #"E %+ ) " ,% H " L,% ( I 9 7U0 :,% %" + ( p_ 0 % + O C, 0 0 ; , 0 1 E .0 M '* ; (Nk 7"U* 8 + %0 0 %= %+ %) 6%T N H %" ( / #" ' 4 , 6%7 8 .0 , 0 1 E 0 . G % C .E * ."? 9 7U0 . 0 !' 0 %" %: %ˆ %+ N , HC " %"W . C , ƒ G L 8 $ 2 7D %"B , .G 8 % $ 0 ; I' .0 %/D "0 r% .
[0 D
1- Femoral. False aneurysm (Medical online library) 2004 (02)15 Page 204 Available from:http://med-lib.ru/english/oxford/few-artery.
2- Isao JW, Marder SR, Gold stone J, Bloom Al. Presentation, diagnosis and management of arterial mycotic pseudoanurysms in injection drug users. Ann Vasc Surg. 2002 Sep; 16(5): 652-62.
3- Charles E, Cherubin CE, Sapira JD. The medical complications of drug addiction and the medical assessment of the intravenous drug user. Ann Intern Med. 1993 Nov; 119(10): 1017-28.
4- Reddy DJ, Smith RF, Elliott JP, Haddad GK, Wanek EA. Infected femoral artery false aneurysm in drug addicts. J Vasc Surg. 1986; 3(718): 14.
5- Skillman J, Kim D, Baum DS. Vascular complications of percutaneous femoral cardiac interventions. Incidence and operative repair. Arch Surg. 1988 Oct; 123(10): 1207-12.
6- Salman YG, Kamran KH, Javed RG, Ahsan N, Ghulam AS. Ruptured traumatic pseudoaneurysm of right femoral artery in a mainline drug absuser. J Coll Physicians Surg. 2000 Aug; 10(8): 312-3.
7- William C, Meyers MD. Sabiston textbook of surgery, 6th ed. Philadelphia: W.B Saunders
Co, 2001: 1574-5.
8- Schwartz SI. Principle of surgery. 7th ed.
New York : McGraw-Hill Co, 1999: 950-89. 9- Behera A, Menakuru SR, Jindal R. Vascular complications of drug abuse. ANZ J Surg. 2003 Dec; 73(12): 1004-7.
10- Johnson JE, Lucase CE, Ledgerwood AM, Jacops LA. Infected venous pseudoaneurysm. A complication of drug addiction. Arch Surg. 1984 Sep; 119(9): 1097-8.
11- Cheng SWK, Wong S. Infected femoral pseudo aneurysm in intravenous drug abusers. Br J Surg. 1992 Jun; 79: 510-2.
&o J !\ = HZ% % O . 8 + C ? %G . G ? %G %)D H " ,% F"R q,% HC % ;*1_ uyvc .R X H o‹ .
13- Roszler MH, Mccarroll KA, Donovan KA, Rashid T. Complications of intravenous drug abuse. Radiographics. copyright @ 1989 by Radiological society of North America. 487-508.
Translate via STRS.ir: www.STRS.ir
Follow our scientific posts via our Blog: www.sid.ir/blog