Effective compression bandage for repair of a complicated radial artery pseudoaneurysm

Silvia Ceccanti; Simone Frediani; Gian Marco Andreoli; Luigi Giannini; Rosalia Ferro; Denis A Cozzi

doi:10.1016/j.avsg.2013.12.006

Effective compression bandage for repair of a complicated radial artery pseudoaneurysm

Ann Vasc Surg. 2014 Jul;28(5):1319.e9-12. doi: 10.1016/j.avsg.2013.12.006. Epub 2014 Jan 20.

Authors

Silvia Ceccanti¹, Simone Frediani², Gian Marco Andreoli³, Luigi Giannini⁴, Rosalia Ferro⁴, Denis A Cozzi⁵

Affiliations

¹ Pediatric Surgery Unit, Sapienza University of Rome, Azienda Policlinico Umberto I, Rome, Italy; Institute of Child Health, University College London, London, UK.
² Pediatric Surgery Unit, Sapienza University of Rome, Azienda Policlinico Umberto I, Rome, Italy.
³ Pediatric Radiology Unit, Sapienza University of Rome, Azienda Policlinico Umberto I, Rome, Italy.
⁴ Neonatal Intensive Care Unit, Sapienza University of Rome, Azienda Policlinico Umberto I, Rome, Italy.
⁵ Pediatric Surgery Unit, Sapienza University of Rome, Azienda Policlinico Umberto I, Rome, Italy. Electronic address: da.cozzi@uniroma1.it.

PMID: 24456862
DOI: 10.1016/j.avsg.2013.12.006

Abstract

We describe a 10-week-old hemophilic infant who developed a large-sized pseudoaneurysm of the radial artery after arterial puncture. Based on our previous experience, compression bandage was elected as first-line treatment. The clinical course was complicated by skin ulceration. However, compression bandage was continued, and complete thrombosis of the pseudoaneurysm occurred after 4 weeks of treatment, preserving arterial patency. Bedside clot evacuation and enzymatic debridement promoted rapid wound healing with negligible scar formation. Compression bandage is a safe and valuable measure for repair of radial artery pseudoaneurysm, even in patients with clotting disorders. Professionals are encouraged to consider the benefit of such an artery-sparing treatment option.

Publication types

Case Reports

MeSH terms

Aneurysm, False / diagnostic imaging
Aneurysm, False / therapy*
Compression Bandages*
Follow-Up Studies
Humans
Infant
Male
Radial Artery*
Ultrasonography