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Related Experiment Videos

Hand and wrist arterial aneurysms.

Gloria Esposito1, Enrico Maria Marone, Davide De Dominicis

  • 1Department of Vascular Surgery, Vita-Salute University, Scientific Institute H. San Raffaele, Milan, Italy.

Annals of Vascular Surgery
|April 21, 2006
PubMed
Summary

Hand and wrist aneurysms, though rare, are increasing due to iatrogenic injuries. Surgical repair offers minimal morbidity and effectively resolves symptoms, suggesting routine operative intervention.

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Area of Science:

  • Vascular Surgery
  • Interventional Radiology
  • Hand Surgery

Background:

  • Hand and wrist aneurysms are uncommon vascular pathologies.
  • Recent increases are linked to iatrogenic injuries from procedures like catheter placement and arterial monitoring.
  • These injuries can lead to true and false aneurysms in the hand and wrist.

Purpose of the Study:

  • To report on the treatment and outcomes of patients with hand and wrist aneurysms.
  • To evaluate the efficacy and safety of surgical repair for these specific aneurysms.

Main Methods:

  • A retrospective review of seven patients treated for hand and wrist aneurysms between January 1992 and January 2005.
  • Surgical interventions included aneurysmectomy with ligation, lesion removal with arterial suture, and arterial reconstruction with autologous vein grafts.

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  • Analysis of postoperative complications, focusing on ischemic and neurological events.

    • Main Results:

    • Seven patients (five true, two false aneurysms) were surgically treated.
    • All patients underwent successful surgical repair without postoperative ischemic or neurological complications.
    • Reported symptoms included pain, paresthesia, and disesthesia, which were addressed by the interventions.

    Conclusions:

    • Surgical repair of hand and wrist aneurysms is associated with minimal morbidity.
    • Given the resolution of symptoms and low complication rates, operative repair should be considered a standard treatment.
    • Prompt surgical intervention is recommended for symptomatic hand and wrist aneurysms.