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Delayed pseudoaneurysm repair: A case report.

Randall W Franz¹, Christi Hughart

¹Vascular & Vein Center, Grant Medical Center.

The International Journal of Angiology : Official Publication of the International College of Angiology, Inc

|April 6, 2012

Summary

This summary is machine-generated.

Iatrogenic pseudoaneurysms, a complication of arterial catheterization, can cause pain and swelling. This case highlights a rare instance of a symptomatic pseudoaneurysm presenting two years after the initial procedure.

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Area of Science:

Vascular Surgery
Interventional Radiology
Medical Complications

Background:

Iatrogenic pseudoaneurysms are known complications following arterial catheterization.
Incidence rates are approximately 1% for diagnostic and 3.2% for interventional procedures.
Common symptoms include pain and swelling at the puncture site.

Observation:

This report details a rare case of a patient presenting with a symptomatic pseudoaneurysm.
The pseudoaneurysm manifested two years after the initial arterial catheterization procedure.
This contrasts with most reported cases that occur shortly after catheterization.

Findings:

The study identifies a delayed presentation of iatrogenic pseudoaneurysm.
It underscores that symptomatic pseudoaneurysms can develop significantly later than the causative arterial catheterization.
Ultrasound-guided thrombin injection remains the preferred treatment, with compression as an alternative.

Implications:

This case expands the understanding of the temporal presentation of iatrogenic pseudoaneurysms.
It suggests the need for continued vigilance for pseudoaneurysm development even years after arterial procedures.
Further research may explore risk factors for delayed pseudoaneurysm formation.