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Vascular 2009Iatrogenic venous pseudoaneurysm following venipuncture is an extremely rare complication of a very common medical procedure. A review of the vascular surgical... (Review)
Review
Iatrogenic venous pseudoaneurysm following venipuncture is an extremely rare complication of a very common medical procedure. A review of the vascular surgical literature revealed that only two cases of venous pseudoaneurysm secondary to venipuncture have been reported in the past half-century. We report the case of a 64-year-old anticoagulated male with a 7-month history of right arm swelling after venipuncture. The patient, on warfarin therapy for chronic atrial fibrillation, described progressive swelling at a previous venipuncture site. He eventually underwent limited two-dimensional ultrasonography, performed for a suspected hematoma, revealing a 4.3 x 3.3 x 2.0 cm pseudoaneurysm of the right basilic vein. These findings were later confirmed by a formal venous duplex sonogram. Similar to other forms of aneurysm and focal vascular dilation, the risks of venous psuedoaneurysm include embolism, thrombosis, and the compression of adjacent structures. Although both thrombin injection and coil embolization have been described as nonsurgical treatment options for arterial pseudoaneurysms, surgical resection may be the most appropriate approach for those with a venous equivalent. The segment of basilic vein containing the pseudoaneurysm was resected. This case demonstrates the need for physicians to consider venous pseudoaneurysm as a possible complication of venipuncture in individuals undergoing anticoagulation therapy.
Topics: Aneurysm, False; Anticoagulants; Humans; Iatrogenic Disease; Ligation; Male; Middle Aged; Phlebotomy; Treatment Outcome; Ultrasonography, Doppler, Duplex; Upper Extremity; Vascular Surgical Procedures
PubMed: 19909684
DOI: 10.2310/6670.2009.00045 -
The Journal of Invasive Cardiology Jan 2022Although percutaneous closure of aortic pseudoaneurysms have been described in adults with good results, there are no reports in children. This case demonstrates that in...
Although percutaneous closure of aortic pseudoaneurysms have been described in adults with good results, there are no reports in children. This case demonstrates that in selected high-risk cases where the anatomy is suitable, percutaneous closure may be feasible and safe in children.
Topics: Adult; Aneurysm, False; Aorta; Child; Humans
PubMed: 34982728
DOI: No ID Found -
BMJ Case Reports Oct 2023The development of pseudoaneurysm is an uncommon, life-threatening complication of head and neck microvascular surgery. Only a handful of reports have been published...
The development of pseudoaneurysm is an uncommon, life-threatening complication of head and neck microvascular surgery. Only a handful of reports have been published describing microvascular pseudoaneurysms, which usually occur at the arterial anastomosis and present as a pulsatile neck mass or as haemorrhage in case of pseudoaneurysm rupture. Management is highly variable, especially in the acute setting. In patients with pseudoaneurysm where flap inosculation is inadequate, endovascular approaches may be appropriate. In this report, we describe a ruptured distal pedicle pseudoaneurysm of a radial forearm free flap salvaged with a flow-diverting stent with complete flap survival and pedicle preservation. We demonstrate further evidence and feasibility of endovascular treatment of a non-anastomotic pseudoaneurysm arising from small vessels when parent vascular integrity is critical to flap survival.
Topics: Humans; Free Tissue Flaps; Aneurysm, False; Radial Artery; Plastic Surgery Procedures; Endovascular Procedures
PubMed: 37813550
DOI: 10.1136/bcr-2023-256588 -
BMC Surgery Mar 2007Aneurysms of the peroneal artery are infrequent and consist mainly of pseudoaneurysms. (Review)
Review
BACKGROUND
Aneurysms of the peroneal artery are infrequent and consist mainly of pseudoaneurysms.
CASE PRESENTATION
This report describes an unusual case of peroneal pseudoaneurysm developing after thromoboembolectomy with a Fogarty catheter. It was managed successfully using an endovascular technique consisting of selective catheterization and coil embolization. The coils were placed in the peroneal artery, both proximal and distal to the pseudoaneurysm.
CONCLUSION
Endovascular technique can be successfully used to treat pseudoaneurysms in difficult settings.
Topics: Aged; Aneurysm, False; Angiography; Catheterization, Peripheral; Embolectomy; Embolization, Therapeutic; Emergency Service, Hospital; Follow-Up Studies; Humans; Leg; Lower Extremity; Male; Risk Assessment; Treatment Outcome; Ultrasonography, Doppler
PubMed: 17394650
DOI: 10.1186/1471-2482-7-4 -
The Heart Surgery Forum Apr 2022Coronary artery pseudoaneurysms are extremely rare and most often occur after trauma or endovascular procedures [Aoki 2008; Kar 2017]. Delay in diagnosis or treatment...
Coronary artery pseudoaneurysms are extremely rare and most often occur after trauma or endovascular procedures [Aoki 2008; Kar 2017]. Delay in diagnosis or treatment may lead to coronary thrombosis with resultant ischemia or hemorrhage subsequent tamponade. Here, we present the case of a 66-year-old female who developed a coronary artery pseudoaneurysm of a non-grafted vessel three weeks after coronary artery bypass grafting. To avoid re-sternotomy, the pseudoaneurysm was successfully managed with a covered coronary stent and mini-left anterior thoracotomy to evacuate the hemopericardium and relieve tamponade.
Topics: Aged; Aneurysm, False; Coronary Artery Bypass; Coronary Vessels; Female; Humans; Stents; Sternotomy
PubMed: 35486052
DOI: 10.1532/hsf.4531 -
Singapore Dental Journal Dec 2019The superficial temporal artery (STA) is a structure that is particularly vulnerable to injury, given its prominent location in the head and neck region. Pseudoaneurysms... (Review)
Review
The superficial temporal artery (STA) is a structure that is particularly vulnerable to injury, given its prominent location in the head and neck region. Pseudoaneurysms of this artery may be encountered during the management of maxillofacial trauma. This article presents a review of the relevant literature on this topic. One of the common surgical interventions includes ligation of the entire feeding artery, which compromises the corresponding blood supply. Preservation of the main trunk of the STA can be achieved in certain cases; one such case is detailed in this report.
Topics: Aneurysm, False; Arteries; Humans; Ligation; Temporal Arteries
PubMed: 32054424
DOI: 10.1142/S2214607519720027 -
Journal of Endovascular Therapy : An... Aug 2021Pseudoaneurysm is due to a disruption in arterial wall continuity. It forms a sac that communicates with the vessel lumen and is surrounded by the compressed,...
Pseudoaneurysm is due to a disruption in arterial wall continuity. It forms a sac that communicates with the vessel lumen and is surrounded by the compressed, surrounding tissues and not by the wall of the artery from which the lesion arises. Many causes can predispose to the formation of a pseudoaneurysm such as trauma, surgical procedures, anticoagulation. In our patient another important risk factor for the formation of a pseudoaneurysm is ADPKD (autosomal dominant polycystic kidney disease) that can cause vascular complication. The mechanisms leading to the genesis of the pseudoaneurysms in our patient are unknown, but the clinicians should bear in mind when evaluating this type of patients that ADPKD may have a various range of systemic cardiovascular manifestation.
Topics: Aneurysm, False; Humans; Treatment Outcome
PubMed: 34137658
DOI: 10.1177/15266028211025035 -
JBJS Case Connector Jul 2022Pseudoaneurysms of the peroneal artery around the ankle joint have rarely been reported. We present the case of a 64-year-old man with a pseudoaneurysm of the anterior...
CASE
Pseudoaneurysms of the peroneal artery around the ankle joint have rarely been reported. We present the case of a 64-year-old man with a pseudoaneurysm of the anterior perforating branch of the peroneal artery associated with a screw inserted from the anterolateral distal tibia during ankle arthrodesis. Endovascular treatment with selective catheterization and coil embolization was successfully performed. The ankle joint achieved bone union without delay, and the pseudoaneurysm did not recur at the 18-month follow-up.
CONCLUSION
This is the first report describing a pseudoaneurysm of the peroneal artery after ankle arthrodesis. Successful outcomes can be achieved by endovascular treatment.
Topics: Aneurysm, False; Ankle; Arthrodesis; Humans; Male; Middle Aged; Tibial Arteries; Treatment Outcome
PubMed: 35977044
DOI: 10.2106/JBJS.CC.22.00206 -
World Neurosurgery Feb 2018Aortic pseudoaneurysms are a rare cause of chronic back pain, usually resulting from compression of the adjacent neurovasculature. It is uncommon for patients with... (Review)
Review
BACKGROUND
Aortic pseudoaneurysms are a rare cause of chronic back pain, usually resulting from compression of the adjacent neurovasculature. It is uncommon for patients with pseudoaneurysms of the abdominal aorta to present in a delayed fashion after initial traumatic injury.
CASE DESCRIPTION
We describe an unusual case of delayed pseudoaneurysm formation with subsequent erosion into the adjacent L1 vertebral body. This pseudoaneurysm was secondary to a gunshot wound with retained ballistic fragment that had occurred 27 years previously. Herein, we discuss the patient's presenting symptoms, imaging, and overall treatment. In this particular case, we used a combined surgical and endovascular (hybrid) approach after the patient experienced recurrent low back pain, weeks after a primary endovascular treatment was performed. We additionally review the current literature on the management of aortic pseudoaneurysms causing vertebral body erosion and back pain.
CONCLUSIONS
In our patient, a combined surgical and endovascular (hybrid) approach led to the complete resolution of his back pain symptoms and to complete exclusion of the pseudoaneurysm on follow-up imaging. Endovascular management of aortic pseudoaneurysms may be a reasonable alternative to open surgery in high-risk patients; however, this approach may result in a higher recurrence of pseudoaneurysm and initial presenting symptoms. Further investigation is needed to elucidate the efficacy of endovascular treatment of these lesions.
Topics: Aged; Aneurysm, False; Aortography; Back Pain; Blood Vessel Prosthesis Implantation; Celiac Artery; Humans; Male; Mesenteric Arteries; Neurologic Examination; Tomography Scanners, X-Ray Computed
PubMed: 29155110
DOI: 10.1016/j.wneu.2017.11.035 -
Archives of Otolaryngology--head & Neck... Apr 2007Pseudoaneurysms of the internal maxillary artery are rare entities that are most commonly caused by trauma. Herein we report a novel case of an internal maxillary artery... (Review)
Review
Pseudoaneurysms of the internal maxillary artery are rare entities that are most commonly caused by trauma. Herein we report a novel case of an internal maxillary artery pseudoaneurysm of infectious etiology and discuss the diagnosis and treatment of this disease.
Topics: Adult; Aneurysm, False; Aneurysm, Infected; Combined Modality Therapy; Diagnosis, Differential; Female; Humans; Imaging, Three-Dimensional; Maxillary Artery; Tomography, X-Ray Computed
PubMed: 17438257
DOI: 10.1001/archotol.133.4.402