Radial Artery Pseudoaneurysm

Rick Tosti, Sezai Özkan, Robert M Schainfeld, Kyle R Eberlin

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

PURPOSE: To review the causes, clinical course, and management of patients with catheter-associated radial artery pseudoaneurysm (PSA).

METHODS: We reviewed all patients diagnosed with radial artery PSA resulting from arterial line placement or radial artery access for cardiac procedures from 2010 to 2015.

RESULTS: We identified 11 cases: 5 caused by arterial lines and 6 by cardiac procedures. The diagnosis was confirmed by duplex ultrasound in all cases; PSA size ranged from less than 1 cm to 5 cm in diameter. Spontaneous thrombosis (over a mean of 27 days) occurred in 4 patients; each PSA was smaller than 3 cm. Surgery was performed in 7 patients with excision of the stalk and repair of the artery as the most common procedure. Only one case was performed emergently for acute carpal tunnel syndrome. Complications occurring owing to either the PSA or the treatment were recorded in 5 patients.

CONCLUSIONS: Spontaneous thrombosis may occur in smaller lesions over a few weeks. When required, surgery to evacuate the hematoma and repair the artery was effective in all cases.

TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.

Original languageEnglish
Pages (from-to)295.e1-295.e6
JournalJournal of Hand Surgery (American Volume)
Volume42
Issue number4
DOIs
Publication statusPublished - Apr 2017

Cite this

Tosti, R., Özkan, S., Schainfeld, R. M., & Eberlin, K. R. (2017). Radial Artery Pseudoaneurysm. Journal of Hand Surgery (American Volume), 42(4), 295.e1-295.e6. https://doi.org/10.1016/j.jhsa.2017.01.024
Tosti, Rick ; Özkan, Sezai ; Schainfeld, Robert M ; Eberlin, Kyle R. / Radial Artery Pseudoaneurysm. In: Journal of Hand Surgery (American Volume). 2017 ; Vol. 42, No. 4. pp. 295.e1-295.e6.
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abstract = "PURPOSE: To review the causes, clinical course, and management of patients with catheter-associated radial artery pseudoaneurysm (PSA).METHODS: We reviewed all patients diagnosed with radial artery PSA resulting from arterial line placement or radial artery access for cardiac procedures from 2010 to 2015.RESULTS: We identified 11 cases: 5 caused by arterial lines and 6 by cardiac procedures. The diagnosis was confirmed by duplex ultrasound in all cases; PSA size ranged from less than 1 cm to 5 cm in diameter. Spontaneous thrombosis (over a mean of 27 days) occurred in 4 patients; each PSA was smaller than 3 cm. Surgery was performed in 7 patients with excision of the stalk and repair of the artery as the most common procedure. Only one case was performed emergently for acute carpal tunnel syndrome. Complications occurring owing to either the PSA or the treatment were recorded in 5 patients.CONCLUSIONS: Spontaneous thrombosis may occur in smaller lesions over a few weeks. When required, surgery to evacuate the hematoma and repair the artery was effective in all cases.TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.",
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Tosti, R, Özkan, S, Schainfeld, RM & Eberlin, KR 2017, 'Radial Artery Pseudoaneurysm' Journal of Hand Surgery (American Volume), vol. 42, no. 4, pp. 295.e1-295.e6. https://doi.org/10.1016/j.jhsa.2017.01.024

Radial Artery Pseudoaneurysm. / Tosti, Rick; Özkan, Sezai; Schainfeld, Robert M; Eberlin, Kyle R.

In: Journal of Hand Surgery (American Volume), Vol. 42, No. 4, 04.2017, p. 295.e1-295.e6.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Radial Artery Pseudoaneurysm

AU - Tosti, Rick

AU - Özkan, Sezai

AU - Schainfeld, Robert M

AU - Eberlin, Kyle R

N1 - Copyright © 2017 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

PY - 2017/4

Y1 - 2017/4

N2 - PURPOSE: To review the causes, clinical course, and management of patients with catheter-associated radial artery pseudoaneurysm (PSA).METHODS: We reviewed all patients diagnosed with radial artery PSA resulting from arterial line placement or radial artery access for cardiac procedures from 2010 to 2015.RESULTS: We identified 11 cases: 5 caused by arterial lines and 6 by cardiac procedures. The diagnosis was confirmed by duplex ultrasound in all cases; PSA size ranged from less than 1 cm to 5 cm in diameter. Spontaneous thrombosis (over a mean of 27 days) occurred in 4 patients; each PSA was smaller than 3 cm. Surgery was performed in 7 patients with excision of the stalk and repair of the artery as the most common procedure. Only one case was performed emergently for acute carpal tunnel syndrome. Complications occurring owing to either the PSA or the treatment were recorded in 5 patients.CONCLUSIONS: Spontaneous thrombosis may occur in smaller lesions over a few weeks. When required, surgery to evacuate the hematoma and repair the artery was effective in all cases.TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.

AB - PURPOSE: To review the causes, clinical course, and management of patients with catheter-associated radial artery pseudoaneurysm (PSA).METHODS: We reviewed all patients diagnosed with radial artery PSA resulting from arterial line placement or radial artery access for cardiac procedures from 2010 to 2015.RESULTS: We identified 11 cases: 5 caused by arterial lines and 6 by cardiac procedures. The diagnosis was confirmed by duplex ultrasound in all cases; PSA size ranged from less than 1 cm to 5 cm in diameter. Spontaneous thrombosis (over a mean of 27 days) occurred in 4 patients; each PSA was smaller than 3 cm. Surgery was performed in 7 patients with excision of the stalk and repair of the artery as the most common procedure. Only one case was performed emergently for acute carpal tunnel syndrome. Complications occurring owing to either the PSA or the treatment were recorded in 5 patients.CONCLUSIONS: Spontaneous thrombosis may occur in smaller lesions over a few weeks. When required, surgery to evacuate the hematoma and repair the artery was effective in all cases.TYPE OF STUDY/LEVEL OF EVIDENCE: Therapeutic IV.

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KW - Catheterization, Peripheral

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KW - Hematoma

KW - Humans

KW - Male

KW - Middle Aged

KW - Radial Artery

KW - Retrospective Studies

KW - Thrombosis

KW - Ultrasonography

KW - Journal Article

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DO - 10.1016/j.jhsa.2017.01.024

M3 - Article

VL - 42

SP - 295.e1-295.e6

JO - Journal of Hand Surgery (American Volume)

JF - Journal of Hand Surgery (American Volume)

SN - 0363-5023

IS - 4

ER -

Tosti R, Özkan S, Schainfeld RM, Eberlin KR. Radial Artery Pseudoaneurysm. Journal of Hand Surgery (American Volume). 2017 Apr;42(4):295.e1-295.e6. https://doi.org/10.1016/j.jhsa.2017.01.024