Radial artery pseudoaneurysm successfully treated by compression bandage

Cozzi, Denis A.; Morini, Filippo; Casati, Alessandra; Pacilli, Maurizio; Salvini, Vittorio; Cozzi, Francesco

doi:10.1136/adc.88.2.165

Cited by 37 publications

(31 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…9 The incidence of pseudoaneurysms is unknown, likely because they are seldom reported or go unrecognized. 10 The natural history of pseudoaneuryms is also unknown; however, complications such as neurapraxia, 11,12 compartment syndrome, 13 rupture, and hemorrhage 14 have been described. Thromboembolism can lead to gangrene and amputation, which underscores the need for early recognition and surgical management.…”

Section: Discussionmentioning

confidence: 99%

“…Surgery is often reserved for expanding, actively bleeding, or otherwise complicated lesions. 10 Zitsman described a radial artery pseudoaneurysm among four cases of pseudoaneurysm in children and adolescents following lacerations. 24 All cases were successfully managed with resection of the pseudoaneurysm and ligation of the feeding arteries.…”

Section: Discussionmentioning

confidence: 99%

“…17,22,23 Experience is limited in the conservative management of pseudoaneurysms of the radial artery in children. 10 Operative intervention has been described in various locations of pseudoaneuryms but may be complicated by growth retardation because of inadequate blood flow. Surgery is often reserved for expanding, actively bleeding, or otherwise complicated lesions.…”

Section: Discussionmentioning

confidence: 99%

See 2 more Smart Citations

Pseudoaneurysm formation following a traumatic wrist laceration

Poonai

Lim

Lynch

2011

CJEM

View full text Add to dashboard Cite

Pseudoaneurysms occur secondary to partial disruption of the arterial wall. They are a commonly described complication of arterial injury, with penetrating injury and iatrogenic arterial catheterization being the most common etiologies in children. Many present weeks to months after the injury, and the initial vascular injury is often missed. The complications of pseudoaneurysm, which include thromboembolism, neurapraxia, and compartment syndrome, underscore the importance of early recognition and management. Definitive therapy consists of ultrasound-guided compression or resection and possible graft interposition. We describe a case of pseudoaneurysm formation in the radial artery of an adolescent girl 6 weeks following a penetrating injury. The patient's injury was complicated by sensory and motor deficits consistent with ulnar nerve compression. This case attests to the importance of adequately ruling out arterial injury in penetrating injury and close followup if the history is suggestive. In addition, a high index of suspicion is warranted to facilitate imaging of a pulsatile mass to avoid confusion of a thrombosed artery with an abscess. RÉ SUMÉLes pseudoané vrismes sont le ré sultat d'une rupture partielle de la paroi arté rielle. C'est une complication couramment dé crite de la lé sion arté rielle, la blessure pé né trante et le cathé té risme arté riel iatrogè ne constituant les é tiologies les plus fré quentes chez les enfants. Ils se pré sentent à l'urgence des semaines, voire des mois aprè s le traumatisme, et la blessure vasculaire initiale n'est souvent pas repé ré e. Les complications du pseudoané vrisme, dont la thromboembolie, la neurapraxie, et le syndrome des loges, soulignent l'importance du dé pistage et de sa prise en charge pré coces. La compression é choguidé e ou la ré section et possiblement l'interposition d'une greffe repré sentent le traitement dé finitif. Nous dé crivons un cas de pseudoané vrisme dans l'artè re radiale d'une adolescente 6 semaines aprè s une blessure pé né trante. La blessure de la patiente a é té aggravé e par des dé ficits sensoriels et moteurs compatibles avec une compression du nerf cubital. Ce cas dé montre l'importance d'exclure la lé sion arté rielle en cas de blessure pé né trante et de faire un suivi é troit en pré sence d'anté cé dents é vocateurs. En outre, un haut degré de suspicion est justifié pour faciliter l'imagerie d'une masse pulsatile afin d'é viter toute confusion entre une artè re thrombosé e et un abcè s.

show abstract

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Pseudoaneurysm formation following a traumatic wrist laceration

Poonai

Lim

Lynch

2011

CJEM

View full text Add to dashboard Cite

show abstract

“…Pseudoaneurysm of the superficial palmar arch is a rare entity, with only a few case reports described in the literature (1)(2)(3)(4)(5)(6)(7). Most known cases involve previous history of trauma to the area, and most occur within the adult patient population (1,2,7).…”

Section: Introductionmentioning

confidence: 93%

Pseudoaneurysm in the Hand of a Three-year-old Boy: A Case Report

Hughes

Binette

Babigian

2012

The Journal of Emergency Medicine

View full text Add to dashboard Cite

“…Regarding the treatment of the aneurysms in literature, observation alone, 3) compression with bandage, 25) ultrasound-guided embolization 26) and surgical intervention were reported. According to the previous reports, operative indication depends on the possibility of traumatic rupture and distal ischemia due to a chronic damage of the vascular supply, embolism from a laminar clot, distal extension of a thrombus, or ischemic effects of the aneurysm compounding atherosclerotic arterial disease.…”

Section: Discussionmentioning

confidence: 99%

Bilateral Radial Artery Aneurysms in the Anatomical Snuff Box Seen in Marfan Syndrome Patient: Case Report and Literature Review

Umeda

Matsuno

Imaizumi

et al. 2009

Annals of Vascular Diseases

View full text Add to dashboard Cite

We describe the first Marfan syndrome case of non-traumatic bilateral radial artery aneurysms in the anatomical snuff box. A 74-year-old woman with Marfan syndrome had a pulsatile mass in her bilateral anatomical snuff box. The color Doppler ultrasonography showed an aneurysm of radial artery located in the bilateral anatomical snuff box. Resection of the right radial artery aneurysm was completed without complications. Histopathological analysis showed a true aneurysm with atherosclerotic changes in the arterial wall. We review the literature on non-traumatic or bilateral radial artery aneurysm in the anatomical snuff box, and discuss the clinical presentation and surgical management.

show abstract

Radial artery pseudoaneurysm successfully treated by compression bandage

Cited by 37 publications

References 12 publications

Pseudoaneurysm formation following a traumatic wrist laceration

Pseudoaneurysm formation following a traumatic wrist laceration

Pseudoaneurysm in the Hand of a Three-year-old Boy: A Case Report

Bilateral Radial Artery Aneurysms in the Anatomical Snuff Box Seen in Marfan Syndrome Patient: Case Report and Literature Review

Contact Info

Product

Resources

About