How is radial artery pseudoaneurysm treated?

Currently, the available proven techniques for the treatment of pseudoaneurysms include surgical repair, ultrasound-guided compression repair (UGCR), and ultrasound-guided thrombin injection (UGTI).

What do you inject into a pseudoaneurysm?

Thrombin is an agent that causes clotting. It may be injected under ultrasound guidance into the pseudoaneurysm to clot the blood inside it. The clot is gradually reabsorbed. The procedure is performed under local anaesthetic.

What is radial artery pseudoaneurysm?

Abstract. A radial artery pseudoaneurysm represents a rare, potentially catastrophic complication of arterial cannulation that has been reported after cardiac catheterization. Treatment options are limited to chemical, mechanical, and combined approaches to obliterate the radial artery pseudoaneurysm and tract.

How serious is a pseudoaneurysm?

Small pseudoaneurysms may resolve spontaneously without intervention. On the contrary, persistent pseudoaneurysms may enlarge and lead to complications related to compression of the adjacent femoral vein, nerve and overlying skin. This may cause leg edema, deep vein thrombosis, compressive neuropathy and skin necrosis.

What is the difference between aneurysm and pseudoaneurysm?

A saccular-shaped aneurysm bulges or balloons out only on one side. A pseudoaneurysm, or false aneurysm, is not an enlargement of any of the layers of the blood vessel wall. A false aneurysm may be the result of a prior surgery or trauma. Sometimes, a tear can occur on the inside layer of the vessel.

Where is the radial artery?

The radial and ulnar arteries originate as a bifurcation of the axillary artery in the cubital fossa and serve as the major perforators to the forearm. Following its bifurcation, the radial artery runs along the lateral aspect of the forearm between the brachioradialis and flexor carpi radialis muscles.

What is the difference between pseudoaneurysm and aneurysm?

How long does a thrombin injection take?

Injection of thrombin was well tolerated by all patients. Procedure times ranged from 1 to 5 minutes. In the last year, triple the number of reports of thrombin injection of pseudoaneurysms were published than were printed during the preceding 15 years.

Does pseudoaneurysm go away?

A small pseudoaneurysm of a femoral artery due to cardiac catheterization may go undetected and not cause any complications. You may not notice it until days or weeks after the procedure. Your doctor may recommend a watchful-waiting approach and an occasional duplex ultrasound test to see if it goes away on its own.

Is pseudoaneurysm an emergency?

A pseudoaneurysm, or false aneurysm, is swelling of the wall of the artery. The swelling is caused by a small hole that has not sealed. A pseudoaneurysm can happen in any artery. It may become a medical emergency because the pseudoaneurysm can rupture.

Is pseudoaneurysm worse than aneurysm?

A pseudoaneurysm, also known as a false aneurysm, is when there is a local hematoma being contained by the surrounding tissue around an artery. It is usually caused by a penetrating injury to the vessel, which then leads to a leakage of blood and causes this local hematoma….

Specialty Cardiology