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Case Report 


Repair of a thrombosed pseudoaneurysm that developed after puncture for an arterial blood gas using a vein graf

Gokce Yildiran, Muhammed Nebil Selimoglu, Osman Akdag, Mehtap Karamese, Zekeriya Tosun.

Abstract
Pseudoaneurysms involving the leakage of blood between the arterial wall and the peripheral parenchyma can occur as a result of an artery’s perforation. In this case report, we present a repair, using a vein graft, of a thrombosed pseudoa- neurysm that developed in a radial artery after a single puncture to obtain a sample for the determination of arterial blood gases. A 56-year-old female patient was admitted with a mass in her left wrist on the radial side. Upon examination, a sen- sitive and mobile mass was detected by palpation. The patient had no fever or any other symptoms of inflammation. Her detailed anamnesis revealed that the mass had developed after a puncture to obtain a blood sample for an arterial blood gas measurement. By using magnetic resonance imaging the mass was determined to be a thrombosed pseudoaneurysm. The mass was excised and the gap that had developed in the radial artery was repaired with a vein graft obtained from the forearm. Magnetic resonance angiography imaging after 1 month confirmed the vein graft’s patency. Cannulations for blood monitoring, blood gas analysis and interventional radiological procedures are indispensable processes used in medicine; however, they are not risk-free. Following these procedures, thromboses and pseudoaneurysms can develop. A number of treatment options exist, including bandaging, percutaneous thrombin injections, and surgical treatment for complicated cases. For pseudoaneurysms that create a mass effect, as in our case, surgery is needed. Such complications after interventional procedures involving the radial artery should be kept in mind.

Key words: Pseudoaneurysm, radial artery


 
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How to Cite this Article
Pubmed Style

Gokce Yildiran, Muhammed Nebil Selimoglu, Osman Akdag, Mehtap Karamese, Zekeriya Tosun. Repair of a thrombosed pseudoaneurysm that developed after puncture for an arterial blood gas using a vein graf. Hand Microsurg. 2016; 5(1): 26-28. doi:10.5455/handmicrosurg.173227


Web Style

Gokce Yildiran, Muhammed Nebil Selimoglu, Osman Akdag, Mehtap Karamese, Zekeriya Tosun. Repair of a thrombosed pseudoaneurysm that developed after puncture for an arterial blood gas using a vein graf. http://handmicrosurgeryjournal.com/?mno=173227 [Access: December 07, 2019]. doi:10.5455/handmicrosurg.173227


AMA (American Medical Association) Style

Gokce Yildiran, Muhammed Nebil Selimoglu, Osman Akdag, Mehtap Karamese, Zekeriya Tosun. Repair of a thrombosed pseudoaneurysm that developed after puncture for an arterial blood gas using a vein graf. Hand Microsurg. 2016; 5(1): 26-28. doi:10.5455/handmicrosurg.173227



Vancouver/ICMJE Style

Gokce Yildiran, Muhammed Nebil Selimoglu, Osman Akdag, Mehtap Karamese, Zekeriya Tosun. Repair of a thrombosed pseudoaneurysm that developed after puncture for an arterial blood gas using a vein graf. Hand Microsurg. (2016), [cited December 07, 2019]; 5(1): 26-28. doi:10.5455/handmicrosurg.173227



Harvard Style

Gokce Yildiran, Muhammed Nebil Selimoglu, Osman Akdag, Mehtap Karamese, Zekeriya Tosun (2016) Repair of a thrombosed pseudoaneurysm that developed after puncture for an arterial blood gas using a vein graf. Hand Microsurg, 5 (1), 26-28. doi:10.5455/handmicrosurg.173227



Turabian Style

Gokce Yildiran, Muhammed Nebil Selimoglu, Osman Akdag, Mehtap Karamese, Zekeriya Tosun. 2016. Repair of a thrombosed pseudoaneurysm that developed after puncture for an arterial blood gas using a vein graf. Hand and Microsurgery, 5 (1), 26-28. doi:10.5455/handmicrosurg.173227



Chicago Style

Gokce Yildiran, Muhammed Nebil Selimoglu, Osman Akdag, Mehtap Karamese, Zekeriya Tosun. "Repair of a thrombosed pseudoaneurysm that developed after puncture for an arterial blood gas using a vein graf." Hand and Microsurgery 5 (2016), 26-28. doi:10.5455/handmicrosurg.173227



MLA (The Modern Language Association) Style

Gokce Yildiran, Muhammed Nebil Selimoglu, Osman Akdag, Mehtap Karamese, Zekeriya Tosun. "Repair of a thrombosed pseudoaneurysm that developed after puncture for an arterial blood gas using a vein graf." Hand and Microsurgery 5.1 (2016), 26-28. Print. doi:10.5455/handmicrosurg.173227



APA (American Psychological Association) Style

Gokce Yildiran, Muhammed Nebil Selimoglu, Osman Akdag, Mehtap Karamese, Zekeriya Tosun (2016) Repair of a thrombosed pseudoaneurysm that developed after puncture for an arterial blood gas using a vein graf. Hand and Microsurgery, 5 (1), 26-28. doi:10.5455/handmicrosurg.173227








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