True brachial artery aneurysm: A case report and review of literature

Shaban, Youssef; Elkbuli, Adel; Geraghty, Feargal; Boneva, Dessy; McKenney, Mark; Portilla, Jorge De La

doi:10.1016/j.amsu.2020.06.011

Cited by 7 publications

(16 citation statements)

References 13 publications

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“…The true brachial aneurysm associated with hemodialysis access was reported in a very limited number of patients [ 1 ]. A review of cases of a true brachial aneurysm associated with hemodialysis access noted that the mean period from creation of AVF to diagnosis of brachial aneurysm was 21 years and from renal transplantation to diagnosis was 14 years.…”

Section: Discussionmentioning

confidence: 99%

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Successful surgical treatment of brachial aneurysm associated with arteriovenous fistula for hemodialysis

Miyagawa

Ryugo

Shibata

et al. 2023

Journal of Surgical Case Reports

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A 58-year-old female who underwent renal transplantation and closure of arteriovenous fistula (AVF) for hemodialysis at age 24 was presented with left forearm pain and cyanosis. Computed tomography revealed an obstructed true brachial aneurysm at the anterior aspect of the elbow joint. Under a diagnosis of true brachial aneurysm associated with AVF, aneurysm resection and brachial to ulnar artery bypass grafting using a reversed great saphenous vein were performed. To prevent graft occlusion due to elbow flexion, it was routed through the ulnar side of the elbow joint. One year after surgery, the patient was asymptomatic with a patent graft.

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Section: Discussionmentioning

confidence: 99%

“…A true brachial aneurysm is a very rare complication of an arteriovenous fistula (AVF) created for hemodialysis access [ 1 ]. Reported here are details of a patient with a true brachial aneurysm associated with an AVF for hemodialysis who underwent a successful surgery.…”

Section: Introductionmentioning

confidence: 99%

Successful surgical treatment of brachial aneurysm associated with arteriovenous fistula for hemodialysis

Miyagawa

Ryugo

Shibata

et al. 2023

Journal of Surgical Case Reports

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“…Surgical or endovascular treatment should be offered immediately after diagnosis to avoid ischemic complications due to distal embolization, the former being the treatment of choice due to good patency and long-term results, with low morbidity rates. 3,9 In the case presented, revacularization with bypass was performed to avoid new episodes of ischemia due to embolism. Bypass with greater saphenous vein interposition graft has been the most frequently employed treatment.…”

Section: Discussionmentioning

confidence: 99%

“…7 Blunt repetitive trauma is the most common cause of true upper extremity arterial aneurysms, usually related to occupational or recreational activities and located in the ulnar artery. 1 True brachial artery aneurysms have also been reported on patients with previous arteriovenous fistula surgery for dialysis, 8,9 and only a few cases of true idiopathic brachial artery aneurysms have been described in the literature. 3,10,11 Patients with brachial artery aneurysms are often symptomatic and may present a palpable mass, pain or paresthesias in the arm.…”

Section: Introductionmentioning

confidence: 99%

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True Idiopathic Brachial Artery Aneurysm Treated With a Saphenous Vein Graft

González-Urquijo

Marine

Vargas

et al. 2022

Vasc Endovascular Surg

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Purpose: The objective of this study is to report a case of a 65-year-old woman who presented with pallor and pain of her left arm secondary to a true arterial brachial aneurysm, which was successfully treated with saphenous vein bypass and embolization of the aneurysm sac. A review of the literature is also presented. Case report: A 65-year-old woman presented with an acute onset of pallor and pain of her left forearm, and hand. On physical examination, there was a pulsatile mass at the forearm. A doppler ultrasound showed a fusiform aneurysmal dilatation of the brachial artery of 23 mm of diameter. A dynamic contrast-enhanced MRI angiogram confirmed a fusiform dilation of the distal brachial artery. The patient was scheduled for open repair. A fusiform 20 x 60 mm aneurysm of the distal brachial artery extending to the cubital fossa was found and a brachial artery to radial and ulnar arteries bypass with interposed reverse right saphenous vein was created. Embolization of the aneurysm sac was performed using Gelita-spon ® (Gelita Medical, Eberbach, Germany). A final angiogram showed an adequate perfusion through the bypass to the hand, and no contrast in the aneurysmal sac. Postoperative course was uneventful with discharge on the fourth postoperative day. Conclusion: Revascularization with autologous saphenous vein graft and exclusion of the aneurysm with local embolization is a good treatment alternative in a patient with symptomatic brachial aneurysm with distal embolization.

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Brachial artery aneurysm as a late complication of arteriovenous fistula

et al. 2021

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Introduction: Brachial artery aneurysm (BAA) is a rare late complication of arteriovenous fistula (AVF). It brings the risk of peripheral embolism and hand ischemia and is defined by brachial artery diameter above 10 mm or by regional dilatation by >50%. BAA is described in the literature in closed radiocephalic arteriovenous fistulas after kidney transplantation. The aim of the study was to analyze the prevalence of BAA and of their more dangerous forms. Method: A observational one center study performed on patients after kidney transplantation with AVF or arteriovenous graft (AVG). We invited all patients followed up for kidney transplantation in our center. Arterial diameter greater than 10 mm was considered as a brachial artery aneurysm to simplify the detection and evaluation of aneurysms. Results: About 162 patients with AVF after kidney transplantation were examined between 4/2018 and 4/2020. Brachial artery aneurysm was detected in 34 patients (21%) with AVF or AVG, of them 7 had confirmed wall thrombi. AVF flow volume of more than 1500 ml/min increased the risk of BAA development by 4.54x. Eight aneurysms were treated surgically. After this surgery, the primary patency was 87.5% in 12 months. Conclusion: Brachial artery aneurysm was relatively frequent in our study compare to the literature. Aneurysm or dilatation of the brachial artery is more frequent in functional AVFs. Surgical correction is necessary in cases of complicated aneurysms to prevent distal embolization.

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True brachial artery aneurysm: A case report and review of literature

Cited by 7 publications

References 13 publications

Successful surgical treatment of brachial aneurysm associated with arteriovenous fistula for hemodialysis

Successful surgical treatment of brachial aneurysm associated with arteriovenous fistula for hemodialysis

True Idiopathic Brachial Artery Aneurysm Treated With a Saphenous Vein Graft

Brachial artery aneurysm as a late complication of arteriovenous fistula

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