Radiology Case Reports (Jan 2019)

Management of radial artery pseudoaneurysm in radial forearm free flap: case report and review of the literature

  • Michele Sessa, MD,
  • Daniela Tonni, MD,
  • Daria Salsi, MD,
  • Flavio Cesare Bodini, MD,
  • Emanuele Michieletti, MD,
  • Domenico Cuda, MD

Journal volume & issue
Vol. 14, no. 1
pp. 10 – 13

Abstract

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The formation of a pseudoaneurysm in a revascularized free flap is an extremely rare complication in microsurgery. The most effective treatment modality is still the subject of debate.We present the management of a case of pseudoaneurysm of the arterial pedicle of a radial free flap used after hemiglossopelvectomy in a patient with squamous cell carcinoma of the tongue.In our case, a 74-year-old man with the pseudoaneurism was successfully treated by endovascular stenting. Endovascular stenting can be considered an effective and safe procedure and a relevant alternative to open neck surgical treatment. Keywords: Pseudoaneurysm, Radial forearm free flap, Microvascular anastomosis, Endovascular stenting