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Effective compression bandage for repair of a complicated radial artery pseudoaneurysm

Silvia Ceccanti1, Simone Frediani2, Gian Marco Andreoli3

  • 1Pediatric Surgery Unit, Sapienza University of Rome, Azienda Policlinico Umberto I, Rome, Italy; Institute of Child Health, University College London, London, UK.

Annals of Vascular Surgery
|January 25, 2014
PubMed

Insights

A compression bandage successfully treated a radial artery pseudoaneurysm in an infant with hemophilia. This artery-sparing method led to complete thrombosis and healing, preserving arterial function.

Area of Science:

  • Vascular Surgery
  • Pediatric Hematology

Background:

  • Pseudoaneurysms, particularly in infants, pose a significant clinical challenge.
  • Radial artery pseudoaneurysms can arise secondary to arterial puncture, especially in patients with bleeding disorders.

Observation:

  • A 10-week-old hemophilic infant presented with a large radial artery pseudoaneurysm post-arterial puncture.
  • Initial treatment involved a compression bandage, complicated by superficial skin ulceration.

Findings:

  • Continued compression bandage therapy for 4 weeks resulted in complete pseudoaneurysm thrombosis.
  • The treatment successfully preserved arterial patency.
  • Subsequent bedside clot evacuation and enzymatic debridement facilitated rapid wound healing with minimal scarring.

Implications:

  • Compression bandage therapy is a safe and effective first-line treatment for radial artery pseudoaneurysms, even in hemophilic patients.
  • This approach offers an artery-sparing alternative to more invasive procedures.
  • Consideration of compression therapy is recommended for managing similar pediatric vascular injuries.

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