Delayed ulnar artery pseudoaneurysm presentation after percutaneous cardiac intervention: A case report and review of the literature.

IF 1 4区医学 Q4 PERIPHERAL VASCULAR DISEASE

Vascular Pub Date : 2025-02-01 Epub Date: 2024-03-06 DOI:10.1177/17085381241238267

Eshiemomoh Osilama, Emma K Satchell, Umashankar K Ballehaninna

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引用次数: 0

Abstract

Purpose: Here we present a case of a 62-year-old female with a delayed ulnar artery pseudoaneurysm presentation after cardiac catheterization.

Case report: A 62-year-old woman with multiple medical comorbidities including end-stage renal disease (ESRD) on hemodialysis (HD) and atrial fibrillation on tablet apixaban who presented 8 weeks after cardiac catheterization through right ulnar artery access with a pulsatile mass, pain, and tingling of her right-hand fingers. Ultrasound exam confirmed presence of ulnar artery pseudoaneurysm with >2 cm active chamber. This pseudoaneurysm was repaired via forearm exploration, evacuation of hematoma, and primary repair with non-absorbable sutures.

Conclusion: We report a case of delayed ulnar artery pseudoaneurysm presentation following cardiac catheterization through the right ulnar artery. Open surgical repair offers a definitive addressal of ulnar artery pseudoaneurysm and removes ulnar nerve compressive neuropathy with less risk of distal embolization in patients with delayed pseudoaneurysm presentation whenever ultrasound-guided thrombin injection (UGTI) is contraindicated.

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经皮心脏介入术后延迟出现尺动脉假性动脉瘤：病例报告和文献综述。

目的：这里我们介绍一例62岁女性心导管检查后延迟出现尺动脉假性动脉瘤的病例：一名 62 岁女性，患有多种内科合并症，包括接受血液透析（HD）的终末期肾病（ESRD）和服用阿哌沙班片剂的心房颤动，在通过右尺动脉入路进行心导管检查 8 周后出现搏动性肿块、疼痛和右手手指刺痛。超声检查证实存在尺动脉假性动脉瘤，活动腔大于 2 厘米。通过前臂探查、清除血肿和使用非吸收缝合线进行初次修补，该假性动脉瘤得以修复：我们报告了一例通过右尺动脉进行心导管检查后出现的延迟性尺动脉假性动脉瘤。如果超声引导下注射凝血酶 (UTI)是禁忌症，则开放手术修补术可彻底解决尺动脉假性动脉瘤问题，并消除尺神经压迫性神经病变，同时降低远端栓塞的风险。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Vascular 医学-外周血管病

CiteScore

2.30

自引率

9.10%

发文量

196

审稿时长

6-12 weeks

期刊介绍： Vascular provides readers with new and unusual up-to-date articles and case reports focusing on vascular and endovascular topics. It is a highly international forum for the discussion and debate of all aspects of this distinct surgical specialty. It also features opinion pieces, literature reviews and controversial issues presented from various points of view.