Radial Artery Pseudoaneurysm

Rick Tosti; Sezai Özkan; Robert M Schainfeld; Kyle R Eberlin

doi:10.1016/j.jhsa.2017.01.024

Radial Artery Pseudoaneurysm

Rick Tosti
, Sezai Özkan
, Robert M Schainfeld
, Kyle R Eberlin

Department of Orthopaedic Surgery, Hand Surgery Service, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Division of Cardiology, Massachusetts General Hospital, Harvard Medical School, Boston, MA.
Division of Plastic and Reconstructive Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, MA. Electronic address: [email protected].

Research output: Contribution to journal › Article › Academic › peer-review

Abstract

PURPOSE: To review the causes, clinical course, and management of patients with catheter-associated radial artery pseudoaneurysm (PSA).

METHODS: We reviewed all patients diagnosed with radial artery PSA resulting from arterial line placement or radial artery access for cardiac procedures from 2010 to 2015.

RESULTS: We identified 11 cases: 5 caused by arterial lines and 6 by cardiac procedures. The diagnosis was confirmed by duplex ultrasound in all cases; PSA size ranged from less than 1 cm to 5 cm in diameter. Spontaneous thrombosis (over a mean of 27 days) occurred in 4 patients; each PSA was smaller than 3 cm. Surgery was performed in 7 patients with excision of the stalk and repair of the artery as the most common procedure. Only one case was performed emergently for acute carpal tunnel syndrome. Complications occurring owing to either the PSA or the treatment were recorded in 5 patients.

CONCLUSIONS: Spontaneous thrombosis may occur in smaller lesions over a few weeks. When required, surgery to evacuate the hematoma and repair the artery was effective in all cases.

TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.

Original language	English
Pages (from-to)	295.e1-295.e6
Journal	Journal of Hand Surgery (American Volume)
Volume	42
Issue number	4
DOIs	https://doi.org/10.1016/j.jhsa.2017.01.024
Publication status	Published - Apr 2017

Keywords

Aged
Aged, 80 and over
Aneurysm, False
Catheterization, Peripheral
Computed Tomography Angiography
Female
Hematoma
Humans
Male
Middle Aged
Radial Artery
Retrospective Studies
Thrombosis
Ultrasonography
Journal Article

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10.1016/j.jhsa.2017.01.024

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title = "Radial Artery Pseudoaneurysm",

abstract = "PURPOSE: To review the causes, clinical course, and management of patients with catheter-associated radial artery pseudoaneurysm (PSA).METHODS: We reviewed all patients diagnosed with radial artery PSA resulting from arterial line placement or radial artery access for cardiac procedures from 2010 to 2015.RESULTS: We identified 11 cases: 5 caused by arterial lines and 6 by cardiac procedures. The diagnosis was confirmed by duplex ultrasound in all cases; PSA size ranged from less than 1 cm to 5 cm in diameter. Spontaneous thrombosis (over a mean of 27 days) occurred in 4 patients; each PSA was smaller than 3 cm. Surgery was performed in 7 patients with excision of the stalk and repair of the artery as the most common procedure. Only one case was performed emergently for acute carpal tunnel syndrome. Complications occurring owing to either the PSA or the treatment were recorded in 5 patients.CONCLUSIONS: Spontaneous thrombosis may occur in smaller lesions over a few weeks. When required, surgery to evacuate the hematoma and repair the artery was effective in all cases.TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.",

keywords = "Aged, Aged, 80 and over, Aneurysm, False, Catheterization, Peripheral, Computed Tomography Angiography, Female, Hematoma, Humans, Male, Middle Aged, Radial Artery, Retrospective Studies, Thrombosis, Ultrasonography, Journal Article",

author = "Rick Tosti and Sezai {\"O}zkan and Schainfeld, \{Robert M\} and Eberlin, \{Kyle R\}",

year = "2017",

month = apr,

doi = "10.1016/j.jhsa.2017.01.024",

language = "English",

volume = "42",

pages = "295.e1--295.e6",

journal = "Journal of Hand Surgery (American Volume)",

issn = "0363-5023",

publisher = "W.B. Saunders Ltd",

number = "4",

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T1 - Radial Artery Pseudoaneurysm

AU - Tosti, Rick

AU - Özkan, Sezai

AU - Schainfeld, Robert M

AU - Eberlin, Kyle R

PY - 2017/4

Y1 - 2017/4

N2 - PURPOSE: To review the causes, clinical course, and management of patients with catheter-associated radial artery pseudoaneurysm (PSA).METHODS: We reviewed all patients diagnosed with radial artery PSA resulting from arterial line placement or radial artery access for cardiac procedures from 2010 to 2015.RESULTS: We identified 11 cases: 5 caused by arterial lines and 6 by cardiac procedures. The diagnosis was confirmed by duplex ultrasound in all cases; PSA size ranged from less than 1 cm to 5 cm in diameter. Spontaneous thrombosis (over a mean of 27 days) occurred in 4 patients; each PSA was smaller than 3 cm. Surgery was performed in 7 patients with excision of the stalk and repair of the artery as the most common procedure. Only one case was performed emergently for acute carpal tunnel syndrome. Complications occurring owing to either the PSA or the treatment were recorded in 5 patients.CONCLUSIONS: Spontaneous thrombosis may occur in smaller lesions over a few weeks. When required, surgery to evacuate the hematoma and repair the artery was effective in all cases.TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.

AB - PURPOSE: To review the causes, clinical course, and management of patients with catheter-associated radial artery pseudoaneurysm (PSA).METHODS: We reviewed all patients diagnosed with radial artery PSA resulting from arterial line placement or radial artery access for cardiac procedures from 2010 to 2015.RESULTS: We identified 11 cases: 5 caused by arterial lines and 6 by cardiac procedures. The diagnosis was confirmed by duplex ultrasound in all cases; PSA size ranged from less than 1 cm to 5 cm in diameter. Spontaneous thrombosis (over a mean of 27 days) occurred in 4 patients; each PSA was smaller than 3 cm. Surgery was performed in 7 patients with excision of the stalk and repair of the artery as the most common procedure. Only one case was performed emergently for acute carpal tunnel syndrome. Complications occurring owing to either the PSA or the treatment were recorded in 5 patients.CONCLUSIONS: Spontaneous thrombosis may occur in smaller lesions over a few weeks. When required, surgery to evacuate the hematoma and repair the artery was effective in all cases.TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.

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KW - Aged, 80 and over

KW - Aneurysm, False

KW - Catheterization, Peripheral

KW - Computed Tomography Angiography

KW - Female

KW - Hematoma

KW - Humans

KW - Male

KW - Middle Aged

KW - Radial Artery

KW - Retrospective Studies

KW - Thrombosis

KW - Ultrasonography

KW - Journal Article

U2 - 10.1016/j.jhsa.2017.01.024

DO - 10.1016/j.jhsa.2017.01.024

M3 - Article

SN - 0363-5023

VL - 42

SP - 295.e1-295.e6

JO - Journal of Hand Surgery (American Volume)

JF - Journal of Hand Surgery (American Volume)

IS - 4

ER -

Radial Artery Pseudoaneurysm

Abstract

Keywords

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