Arterial Consequences of Recreational Drug Use

  • P.A. C
  • A.I.D. M
N/ACitations
Citations of this article
1Readers
Mendeley users who have this article in their library.

Abstract

Background: Recreational drug use is becoming an increasing problem throughout the world. Many of the drugs used and their routes of administration have the potential to cause damage to the vascular system. Intravenous drug administration with the risk of arterial puncture predisposes to the formation of infected pseudoaneurysms. Inadvertent intra-arterial injection predisposes to distal limb ischaemia. Cocaine has numerous effects not only on the heart, but also potentially on any vascular bed. Methods: A systematic review of published literature with regard to the arterial consequences of recreational drug abuse was undertaken by undergoing an electronic search. Results: Most of the available literature is in the form of case reports and case series. Pseudoaneurysm formation is a serious consequence for intravenous drug users. For femoral aneurysms vessel ligation is the safest option with a low amputation risk. A high proportion of patients do have symptoms of claudication in the long term. Intra-arterial injections can result in limb threatening ischaemia. Systemic anticoagulation forms the mainstay of treatment. Cocaine has significant effects upon both the myocardium and the arterial tree in general. Arterial problems must always be considered in cocaine users who present acutely. Conclusion: The consequences of recreational drug use will result in an increased exposure of vascular surgeons to its associated complications posing unique and challenging problems. 2006 Elsevier Ltd. All rights reserved.

Cite

CITATION STYLE

APA

P.A., C., & A.I.D., M. (2006). Arterial Consequences of Recreational Drug Use. European Journal of Vascular and Endovascular Surgery. P.A. Coughlin, Department of Vascular Surgery, Leeds General Infirmary, Leeds, England, United Kingdom. E-mail: pacoughlin@aol.com: W.B. Saunders Ltd. Retrieved from http://ovidsp.ovid.com/ovidweb.cgi?T=JS&PAGE=reference&D=emed7&NEWS=N&AN=2006433688

Register to see more suggestions

Mendeley helps you to discover research relevant for your work.

Already have an account?

Save time finding and organizing research with Mendeley

Sign up for free