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Creating Radio-cephalic Arteriovenous Fistula in the Forearm with a Modified No-Touch Technique
Published on: April 1, 2022
Radial artery pseudoaneurysm in the intensive care unit
Wolfgang B Gaertner1, Steven M Santilli, Todd D Reil
1Division of Vascular Surgery, Department of Surgery, University of Minnesota, Minneapolis, MN, USA. gaert015@umn.edu
Annals of Vascular Surgery
|May 11, 2010
Summary
Radial artery pseudoaneurysms, often linked to catheterization, can be treated with prolonged external compression. This non-invasive method offers a viable option for patients unable to undergo surgery.
Area of Science:
- Vascular Surgery
- Interventional Cardiology
Background:
- Pseudoaneurysms can develop in the radial artery at the wrist following procedures like catheterization or arteriovenous shunting.
- Increased use of invasive monitoring has led to a rise in reported cases of radial artery pseudoaneurysms.
Observation:
- A case of radial artery pseudoaneurysm was observed at the wrist, directly resulting from radial artery catheterization.
Findings:
- The pseudoaneurysm successfully thrombosed after a period of 6 days of continuous external compression.
- External compression demonstrated efficacy as a therapeutic intervention for this specific case.
Implications:
- Extended external compression presents a valuable, non-operative treatment alternative for radial artery pseudoaneurysms.
- This approach is particularly beneficial for patients with medical conditions precluding general anesthesia or surgical intervention.
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