Endovascular Treatment of Post-Traumatic Pseudoaneurysms of Ulnar and Radial Artery

  • Hossein Nough Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
  • Mostafa Bagherinasab Mail Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
  • Mahmood Emami Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
  • Mohammadtaghi Sarebanhassanabadi Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
  • Leila Hadiani Yazd Cardiovascular Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.
Keywords:
Endovascular treatment, Traumatic pseudoaneurysm, Ulnar artery, Radial artery

Abstract

Aneurysm can develop in all arteries of the human body. Pseudoaneurysm induced by trauma is known as a rare condition in peripheral arteries. This complication is known as late sequelae of trauma. The incidence of pseudoaneurysm in upper extremities artery is less than lower extremities. Atherosclerotic aneurysms are often seen in large arteries and by aging, but pseudoaneurysm can be seen in penetrating or blunt trauma in patients of every age or every location. Delayed treatment of pseudoaneurysm leads to bleeding, venous edema at the extremities and compression on the adjacent nerve as a result of pseudoaneurysm enlargement. Early diagnosis of pseudoaneurysm is very important, because this complication can induce disabilities such as upper extremities and finger loss. Peripheral arteries pseudoaneurysm in distal locations especially in brachial artery and forearm can cause a thrombotic complication in hands and fingers.

References

Crawford ES, De Bakey ME, Cooley DA. Surgical considerations of peripheral arterial aneurysms; analysis of one hundred seven cases. AMA Arch Surgery 1959;78(2):226-38.

Wielenberg A, Borge MA, Demos TC, et al. Traumatic pseudoaneurysm of the brachial artery. Orthopedics 2000;23(12):1250,1322-4.

Johnston KW, Rutherford RB, Tilson MD, et al. Suggested standards for reporting on arterial aneurysms. Subcommittee on Reporting Standards for Arterial Aneurysms, Ad Hoc Committee on Reporting Standards, Society for Vascular Surgery and North American Chapter, International Society for Cardiovascular Surgery. J Vasc Surg 1991;13(3):452-8.

Yilmaz AT, Arslan M, Demirkilic U, et al. Missed arterial injuries in military patients. Am J Surg 1997;173(2):110-4.

Robbs JV, Naidoo KS. Nerve compression injuries due to traumatic false aneurysm. Ann Surg 1984;200(1):80-2.

Nugud OO, Hedges AR. Axillary artery pseudoaneurysm. Int J Clin Pract 2001;55(7):494.

Robbs JV, Naidoo KS. Nerve compression injuries due to traumatic false aneurysm. Ann Surg 1984;200(1):80-2.

Offer GJ, Sully L. Congenital aneurysm of the ulnar artery in the palm. J Hand Surg Br 1999;24(6):735-7.

Wang AA, Strauch RJ, Moore JA. Pseudo-aneurysm of the ulnar artery occuring after fracture of the distal radius and ulna: a case report. J Hand Surg Am 1998;23(5):933-7.

Haimovici H. Peripheral arterial aneurysms. In: Haimovici H, Ascer E, Hollier LH, et al, editors. Haimovici’s vascular surgery. 4th ed. Cambridge (MA): Blackwell Science; 1996: p. 893-909.

Tetik O, Yetkin U, Yilik L, et al. Right axillary pseudoaneurysm causing permanent neurological damage at right upper limb: A case report. Turk J Vasc Surg 2002;2:102-4.

Cakir O, Balci AE, Eren S, et al. Traumatic arteriovenous fistulas. Turk J Vasc Surg 2001;1(1):28-31.

How to Cite
1.
Nough H, Bagherinasab M, Emami M, Sarebanhassanabadi M, Hadiani L. Endovascular Treatment of Post-Traumatic Pseudoaneurysms of Ulnar and Radial Artery. Acta Med Iran. 52(11):865-867.
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