Plastic and Reconstructive Surgery, Global Open (Nov 2020)

Traumatic Radial Artery Pseudoaneurysm: Vein Graft Repair through a Single Incision

  • Michael T. Simmons, MD,
  • Allison R. Beckett, MD,
  • Philip J. Cato, BS,
  • Robert W. Lightfoot, MA,
  • Ronald M. Brooks, MD

DOI
https://doi.org/10.1097/GOX.0000000000003182
Journal volume & issue
Vol. 8, no. 11
p. e3182

Abstract

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Summary. Radial artery pseudoaneurysms are rare clinical entities usually occurring after penetrating trauma or iatrogenic injury. The radial artery is the least common location for peripheral artery pseudoaneurysms, and no clear standard of treatment exists. We present a case of an adolescent male who developed a radial artery pseudoaneurysm after slitting his wrists. Using a single incision, the radial artery pseudoaneurysm was excised and repaired using a reversed venae comitantes interposition graft. This single incision technique for radial artery pseudoaneurysm repair preserves the dual arterial supply to the hand, which is of particular importance in young patients.