FALSE ANEURYSM OF THE RADIAL ARTERY: BRIEF LITERATURE REVIEW AND CASE REPORT

Abstract

The article describes a case of successful treatment of pseudoaneurysm of the radial artery (PRA). The peculiarity of the described case is that as a result of injury in the lower third of the forearm there was damage to the lateral wall of the radial artery; against the background of the pressure bandage, the artery defect temporarily clotted, and there were no signs of bleeding. In this regard, in the initial surgical treatment of the wound, the surgeon did not pay attention to the condition of the artery wall and put stitches on the skin. Subsequently, due to the resumption of bleeding, a pulsatile hematoma was spread in its further transformation into a false aneurysm. PRA can lead to the development of dangerous complications – rupture, bleeding, infection, compression of nerve trunks of the forearm. In order to avoid their development, it is necessary in all cases to eliminate the PRA. Currently, proposed mini-invasive interventions: endovascular aneurysm embolization, stent-grafting of vascular defect, compression method, as well as puncture technique by injecting thrombin into the cavity of the PRA under X-ray control. However, the experience of their application shows that, despite all their advantages, open operations continue to be the «gold standard» in the treatment of PRA. The authors of the article also adhered to this tactic, which allowed them to achieve a good result.

Keywords

• false aneurysm
• radial artery
• diagnosis
• surgical treatment.