Abstract
Catheter insertion and forearm arteriovenous shunts are the main reasons for pseudoaneurysms in the practice of cardiovascular surgery. Radial artery pseudoaneurysm from arterial wall disruption is an extremely rare complication of arterial approach. Herein, we report a case of radial pseudoaneurysm repair leading to steal phenomenon and ischemic pain which occurred following the closure of the arteriovenous fistula located between the radial artery and cephalic vein in the medial aspect of the right forearm in a 37-year-old male receiving regular hemodialysis for chronic renal failure.
References
- 1. Mudoni A, Cornacchiari M, Gallieni M, Guastoni C, Mc Grogan D, Logias F, et al. Aneurysms and pseudoaneurysms in dialysis access. Clin Kidney J. 2015;8(4):363–7.
- 2. San Norberto Garcia EM, Gonzalez-Fajardo JA, Gutierrez V, Carrera S, Vaquero C. Femoral pseudoaneurysms post-cardiac catheterization surgically treated: evolution and prognosis. Interact Cardiovasc Thorac Surg. 2009;(8):353-8.
- 3. Alerhand S, Apakama D, Nevel A, Nelson BP. Radial artery pseudoaneurysm diagnosed by point of care ultrasound five days after transradial catheterization: A case report. World J Emerg Med. 2018;9(3):223–6.
- 4. Kerr CD, Duffey TP. Traumatic false aneurysm of the radial artery. J Trauma. 1988; 28:1603–4.
- 5. Kongunattan V, Ganesh N. Radial Artery Pseudoaneurysm following Cardiac Catheterization: A Nonsurgical Conservative Management Approach. Heart Views. 2018;19(2):67–70.
- 6. Almehmi A, Wang S. Partial aneurysmectomy is effective in managing aneurysm-associated complications of arteriovenous fistulae for hemodialysis: case series and literature review. Semin Dial. 2012;25:357–64.
- 7. Hossny A. Partial aneurysmectomy for salvage of autogenous arteriovenous fistula with complicated venous aneurysms. J Vasc Surg. 2014;59:1073-7.
- 8. Balaz P, Rokosny S, Klein D, Adamec M. Aneurysmorrhaphy is an easy technique for arteriovenous fistula salvage. J Vasc Access. 2008;9:81–4.
- 9. Becit N, Ateş A, Özyazıcıoğlu A, Ceviz M, Yılmaz M. Evaluation and Surgical Treatment in Peripheral Arterial Injuries. Turk Gogus Kalp Dama. 2000;8(1):540-4.
- 10. O’Neill JM, Jenkins DA, Ireland HM. Recurrence of dialysis shunt pseudoaneurysm following percutaneous thrombin embolization. Cardiovasc Intervent Radiol. 2001;24:441–2.
- 11. Witz M, Werner M, Bernheim J, Shnaker A, Lehmann J, Korzets Z. Ultrasound-guided compression repair of pseudoaneurysms complicating a forearm dialysis arteriovenous fistula. Nephrol Dial Transplant. 2000;15:1453–4.
- 12. Mantha ML, Baer R, Bailey GS, Wu RL, Killen JP. Endovascular repair of a hemodialysis fistula aneurysm with covered stents. Kidney Int 2009;76:918.
Abstract
Kalp ve damar cerrahisinde psödoanevrizmaların en önemli nedeni, kateter uygulamaları ve ön kolda açılan arteriyovenöz şantlardır. Arteriyel duvar bozulmasından kaynaklanan radyal arter psödoanevrizması, arteriyel yaklaşımın oldukça nadir görülen bir komplikasyonudur. Bu yazıda, kronik böbrek yetmezliği nedeniyle rutin hemodiyalize giren 37 yaşında erkek bir olguda, efektif çalışmayan sağ ön kol medial yüzde radial arter ve sefalik ven arasında arteriyovenöz fistülün kapatılması sonrasında oluşan ve çalma fenomeni nedeniyle iskemi ağrısı oluşturan radial arter psödoanevrizma tamiri sunuldu.
References
- 1. Mudoni A, Cornacchiari M, Gallieni M, Guastoni C, Mc Grogan D, Logias F, et al. Aneurysms and pseudoaneurysms in dialysis access. Clin Kidney J. 2015;8(4):363–7.
- 2. San Norberto Garcia EM, Gonzalez-Fajardo JA, Gutierrez V, Carrera S, Vaquero C. Femoral pseudoaneurysms post-cardiac catheterization surgically treated: evolution and prognosis. Interact Cardiovasc Thorac Surg. 2009;(8):353-8.
- 3. Alerhand S, Apakama D, Nevel A, Nelson BP. Radial artery pseudoaneurysm diagnosed by point of care ultrasound five days after transradial catheterization: A case report. World J Emerg Med. 2018;9(3):223–6.
- 4. Kerr CD, Duffey TP. Traumatic false aneurysm of the radial artery. J Trauma. 1988; 28:1603–4.
- 5. Kongunattan V, Ganesh N. Radial Artery Pseudoaneurysm following Cardiac Catheterization: A Nonsurgical Conservative Management Approach. Heart Views. 2018;19(2):67–70.
- 6. Almehmi A, Wang S. Partial aneurysmectomy is effective in managing aneurysm-associated complications of arteriovenous fistulae for hemodialysis: case series and literature review. Semin Dial. 2012;25:357–64.
- 7. Hossny A. Partial aneurysmectomy for salvage of autogenous arteriovenous fistula with complicated venous aneurysms. J Vasc Surg. 2014;59:1073-7.
- 8. Balaz P, Rokosny S, Klein D, Adamec M. Aneurysmorrhaphy is an easy technique for arteriovenous fistula salvage. J Vasc Access. 2008;9:81–4.
- 9. Becit N, Ateş A, Özyazıcıoğlu A, Ceviz M, Yılmaz M. Evaluation and Surgical Treatment in Peripheral Arterial Injuries. Turk Gogus Kalp Dama. 2000;8(1):540-4.
- 10. O’Neill JM, Jenkins DA, Ireland HM. Recurrence of dialysis shunt pseudoaneurysm following percutaneous thrombin embolization. Cardiovasc Intervent Radiol. 2001;24:441–2.
- 11. Witz M, Werner M, Bernheim J, Shnaker A, Lehmann J, Korzets Z. Ultrasound-guided compression repair of pseudoaneurysms complicating a forearm dialysis arteriovenous fistula. Nephrol Dial Transplant. 2000;15:1453–4.
- 12. Mantha ML, Baer R, Bailey GS, Wu RL, Killen JP. Endovascular repair of a hemodialysis fistula aneurysm with covered stents. Kidney Int 2009;76:918.
Details
| Primary Language | English |
|---|---|
| Subjects | Cardiovascular Surgery |
| Journal Section | Case report |
| Authors | |
| Publication Date | July 1, 2020 |
| Published in Issue | Year 2020 Volume: 4 Issue: 7 |
