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CC BY-NC-ND 4.0 · Journal of Clinical Interventional Radiology ISVIR 2019; 03(03): 185-188
DOI: 10.1055/s-0039-3401306
Case Report
by Indian Society of Vascular and Interventional Radiology

Hybrid Management of an Ulnar Artery Pseudoaneurysm Postphlebotomy

Heather K. Moriarty 
1   Department of Radiology, Alfred Hospital, Melbourne, Victoria, Australia
,
Peter Charalabidis
2   Department of Vascular Surgery, Alfred Hospital, Melbourne, Victoria, Australia
,
Korana Musicki
2   Department of Vascular Surgery, Alfred Hospital, Melbourne, Victoria, Australia
,
Tuan Phan
1   Department of Radiology, Alfred Hospital, Melbourne, Victoria, Australia
,
Tim Joseph
1   Department of Radiology, Alfred Hospital, Melbourne, Victoria, Australia
,
Warren Clements
1   Department of Radiology, Alfred Hospital, Melbourne, Victoria, Australia
› Author Affiliations Funding This study was not funded.
Further Information

Publication History

received 24 April 2019

accepted after revision 20 May 2019

Publication Date:
04 December 2019 (online)

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Abstract

The purpose of this case report is to describe the occurrence and management of an ulnar artery pseudoaneurysm post phlebotomy. A 36-year-old worker with progressively painful nondominant forearm swelling was referred at 4 weeks postphlebotomy. Serial imaging showed an expanding proximal ulnar pseudoaneurysm. This was managed with a covered stent in the ulnar artery and coiling of the interosseous artery. The hematoma was evacuated, and the neurovascular bundle was protected with muscle coverage. At follow-up, the stent was patent, and there was no distal ischemia. Pseudoaneurysms post phlebotomy are rare. We demonstrate successful treatment of an ulnar artery pseudoaneurysm with stent graft and coiling of the interosseous branch.

Keywords

pseudoaneurysm - ulnar artery - endovascular - stent graft - phlebotomy
 

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