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VOLUME 20 , ISSUE 10 ( 2016 ) > List of Articles

CASE REPORT

Radial artery pseudoaneurysm: A rare complication after a single arterial puncture for blood-gas analysis

Kajal Patel, Shruti Gandhi, Harsh Sutariya

Keywords : Doppler ultrasound, pseudoaneurysm, radial artery

Citation Information : Patel K, Gandhi S, Sutariya H. Radial artery pseudoaneurysm: A rare complication after a single arterial puncture for blood-gas analysis. Indian J Crit Care Med 2016; 20 (10):622-626.

DOI: 10.4103/0972-5229.192066

License: CC BY-ND 3.0

Published Online: 01-09-2017

Copyright Statement:  Copyright © 2016; The Author(s).


Abstract

With a reported incidence of 0.048%, radial artery pseudoaneurysm (PA) is a rare but serious complication of arterial cannulation. We report a case of PA developing after a single puncture of the right radial artery for arterial blood-gas analysis diagnosed by Doppler ultrasound in young male patient. The development of PA after puncture of radial artery for continuous blood pressure monitoring and serial blood-gas analysis has been reported in the past; however, to the best of our knowledge, there is only one case report of development of PA after a single arterial puncture for blood-gas analysis is reported in the past.


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  1. Lemaitre J, Goffin C, Bellens B. Digital embolus arising from a pseudoaneurysm after radial artery catheterization: A case report. Acta Chir Belg 2006;106:246-8.
  2. Ganchi PA, Wilhelmi BJ, Fujita K, Lee WP. Ruptured pseudoaneurysm complicating an infected radial artery catheter: Case report and review of the literature. Ann Plast Surg 2001;46:647-50.
  3. Ranganath A, Hanumanthaiah D. Radial artery pseudo aneurysm after percutaneous cannulation using Seldinger technique. Indian J Anaesth 2011;55:274-6.
  4. Bouch DC, Hall AP. Ultrasound diagnosis of a false radial artery aneurysm in ICU. Anaesthesia 2006;61:1018.
  5. Rozen G, Samuels DR, Blank A. The to and fro sign: The hallmark of pseudoaneurysm. Isr Med Assoc J 2001;3:781-2.
  6. Pagès ON, Alicchio F, Keren B, Diallo S, Lefebvre F, Valla JS, et al. Management of brachial artery aneurisms in infants. Pediatr Surg Int 2008;24:509-13.
  7. Landau D, Schreiber R, Szendro G, Golcman L. Brachial artery pseudoaneurysm in a premature infant. Arch Dis Child Fetal Neonatal Ed 2003;88:F152-3.
  8. Gray RJ, Stone WM, Fowl RJ, Cherry KJ, Bower TC. Management of true aneurysms distal to the axillary artery. J Vasc Surg 1998;28:606-10.
  9. Toursarkissian B, Allen BT, Petrinec D, Thompson RW, Rubin BG, Reilly JM, et al. Spontaneous closure of selected iatrogenic pseudoaneurysms and arteriovenous fistulae. J Vasc Surg 1997;25:803-8.
  10. Llácer Pérez M, González Jiménez JM, Jiménez Ruiz A. Pseudoaneurysm in the radial artery after catheterization. Rev Esp Anestesiol Reanim 2006;53:119-21.
  11. Harkin DW, Connolly D, Chandrasekar R, Anderson M, Blair PH, Hood JM, et al. Radial artery mycotic pseudoaneurysm in a haemophiliac: A potentially fatal complication of arterial catheterization. Haemophilia 2002;8:721-4.
  12. Dao KD, Venn-Watson E, Shin AY. Radial artery pseudoaneurysm complication from use of AO/ASIF volar distal radius plate: A case report. J Hand Surg Am 2001;26:448-53.
  13. Vincenzo Leone, Daniele Misuri and Nico Console. Radial artery pseudoaneurysm after a single arterial puncture for blood-gas analysis: A case report. Cases J 2009;2:6890.
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