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J Reconstr Microsurg 2003; 19(3): 143-146
DOI: 10.1055/s-2003-39825
Copyright © 2003 by Thieme Medical Publishers, Inc., 333 Seventh Avenue, New York, NY 10001, USA. Tel.: +1(212) 584-4662

True Aneurysm of the Radial Artery After Iatrogenic Injury and Successful Reconstruction with an Interposition Vein Graft

O. Koray Coşkunfirat, H. Ege Özgentaş,
  • Department of Plastic and Reconstructive Surgery, Akdeniz University School of Medicine, Antalya, Turkey
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Publication History

Publication Date:
13 June 2003 (online)

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ABSTRACT

Aneurysm of the radial artery is rare and is usually seen after penetrating traumas. The radial artery is most affected at the distal part where it lies superficially. Iatrogenic injuries, such as catheter placement and arterial blood collection, are important interventions in hospitalized patients. In this paper, the authors present a case with a distal radial artery true aneurysm after prolonged radial artery catheterization. Although treatment of aneurysm of the radial artery is still controversial, they reconstructed the excised segment with an interposition vein graft, and recommend such vessel repair to maintain patency whenever possible.

KEYWORDS

Aneurysm - radial artery - vein graft

REFERENCES

  • 1 Duchateau J, Moermans J P. False aneurysm of the radial artery.  Arch Surg . 1966;  92 937-939
    PubMedGoogle Scholar
  • 2 Carneiro R. Aneurysm of the wrist.  Plast Reconstr Surg. . 1974;  54 483-489
    PubMedGoogle Scholar
  • 3 Sterling A P, Habermann E. Traumatic aneurysm of the radial artery.  Hand . 1975;  7 294-296
    PubMedGoogle Scholar
  • 4 Ho P K, Weiland A J, McClinton M A, Wilgis E F. Aneurysm of the upper extremity.  J Hand Surg . 1987;  12A 39-46
    PubMedGoogle Scholar
  • 5 Green D P. True and false traumatic aneurysms in the hand: report of two cases and review of the literature.  J Bone Joint Surg . 1973;  55A 120-128
    PubMedGoogle Scholar
  • 6 Turowski G A, Amjadi N, Sterling A, Thomson J G. Aneurysm of the radial artery following blunt trauma to the wrist.  Ann Plast Surg . 1997;  5 527-530
    PubMedGoogle Scholar
  • 7 Downs J B, Rackstein A D, Klein E F. Hazards of radial artery catheterization.  Anesthesiology . 1973;  38 283-286
    PubMedGoogle Scholar
  • 8 Slogoff S, Keats A S, Arlund C. On the safety of radial artery cannulation.  Anesthesiology . 1983;  59 42-47
    CrossrefPubMedGoogle Scholar
  • 9 Bedford R F, Wollman H. Complications of percutaneous radial artery cannulation: an objective prospective study in man.  Anesthesiology . 1973;  38 228-236
    CrossrefPubMedGoogle Scholar
  • 10 Falk P S, Scuderi P E, Sheretz R J, Motsinger S M. Infected radial artery pseudoaneurysm occurring after percutaneous cannulation.  Chest . 1992;  101 490-495
    CrossrefPubMedGoogle Scholar
  • 11 Swanson E, Freiberg A, Salter D R. Radial artery infections and aneurysm after catheterization.  J Hand Surg . 1990;  15A 166-171
    PubMedGoogle Scholar
  • 12 Erdoes L S, Brown W C. Ruptured ulnar artery pseudoaneurysm.  Ann Vasc Surg . 1995;  4 394-396
    PubMedGoogle Scholar
  • 13 Ganchi P A, Wilhelmi B J, Fujita K, Lee W PA. Ruptured pseudoaneurysm complicating an infected radial artery catheter: case report and review of the literature.  Ann Plast Surg . 2001;  6 647-650
    PubMedGoogle Scholar
  • 14 Russell R C, Steichen J B, Zook E G. Radial artery pseudoaneurysms: their diagnosis, treatment and prevention.  Orthop Rev . 1979;  8 49-54
    PubMedGoogle Scholar
  • 15 Arnow P M, Costas C O. Delayed rupture of the radial artery caused by catheter related sepsis.  Rev Infect Dis . 1988;  10 1035-1037
    PubMedGoogle Scholar
  • 16 Johnson M, Ford M, Johansen K. Radial or ulnar artery laceration. Repair or ligate?.  Arch Surg . 1993;  128 971-975
    PubMedGoogle Scholar
  • 17 Afdabuddin M, Islam N, Jaffar M A. Management of isolated radial or ulnar artery injuries at the forearm.  J Trauma . 1995;  38 149-151
    PubMedGoogle Scholar
  • 18 Kleinert H E, Burget G C, Morgan J A. Aneurysm of the hand.  Arch Surg . 1973;  106 554-557
    PubMedGoogle Scholar
  • 19 Gooding G AW. Sonography of the radial artery at the wrist.  Am J Radiol . 1988;  150 629-631
    PubMedGoogle Scholar
  • 20 Brieda M, Nicolosi G L, Zanuttini D. A posttraumatic pseudoaneurysm of the radial artery. Its diagnostic assessment by duplex color Doppler.  G Ital Cardiol . 1992;  22 1335-1336
    PubMedGoogle Scholar
  • 21 May J W, Grossman J A, Bromer C. Cyanotic painful index and long fingers associated with an asymptomatic ulnar artery aneurysm.  J Hand Surg . 1982;  7A 622-625
    PubMedGoogle Scholar
  • 22 Thorrens S, Tripplel O H, Bergan J J. Arteriosclerotic aneurysm of the hand.  Arch Surg . 1966;  92 937-939
    PubMedGoogle Scholar
  • 23 Sadove R C. Traumatic infected pseudoaneurysm of the hand.  J Hand Surg . 1990;  15A 906-909
    PubMedGoogle Scholar
  • 24 Rothkopf D M, Chu B, Gonzalez F. Radial and ulnar artery repairs: assessing patency rates with color Doppler ultrasonographic imaging.  J Hand Surg . 1993;  18 626-628
    PubMedGoogle Scholar
  • 25 Wenger R D, Boyer D W, Sandzen S C. Traumatic aneurysm of the radial artery in the anatomical snuff box: a report of two cases.  Hand . 1980;  12 266-270
    PubMedGoogle Scholar
  • 26 Johnson J R, Ledgerwood A M, Lucas C E. Mycotic aneurysm: new concepts in therapy.  Arch Surg . 1983;  118 577-582
    PubMedGoogle Scholar
  • 27 Anderson C B, Butcher H R, Ballinger W F. Mycotic aneurysms.  Arch Surg . 1974;  109 712-717
    PubMedGoogle Scholar
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