Pseudoaneurism of radial artery [Radiyal arterde psödoanevrizma]

Abstract

Introduction: Pseudoaneurysms can be occurred due to blunt or penetrating traumas that damages arterial wall completeness. Pseudoaneurysm of radial artery is seen rarely. In this case, a pseudoaneurysm due to radial artery catheterization at intensive care unit (ICU) is presented. Case: The patient was a 56 years old man that had amyotrophic lateral sclerosis at ICU. Radial catheter was removed because of skin flushing and pain at the 190th day of hospitalization. After 24 hours of removal of the catheter a 2×3 cm palpable and pulsatile mass was determined. The diagnosis of pseudoaneurysm was made by Doppler ultrasound. Because of mass enlarging and wound formations on first and second fingers, aneurismatic mass was removed and radial artery was ligated. The ulcerations on fingers recovered completely. Conclusion: Pseudoaneurysms can be seen after the removal of catheters at the patients who are catheterized for a long time and frequently. In order to prevent this it must be paid attention to asepsia, and must be pressed for enough time. The attempting area must be observed regularly for early diagnosis, the treatment must be done before dangerous complications have been occurred.