Crutch-induced brachial artery aneurysm

Ching, Ricardo Montoya; Cano, Ana Isabel Ponce; López, María Victorina

doi:10.20960/angiologia.00290

Cited by 1 publication

(2 citation statements)

References 8 publications

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“…118 It has also been observed that TBAA are not only limited to genetic pathologies, but may also arise as a complication to a systemic pathology that may affect the haemodynamics of the arterial system in a secondary manner. [13][14][15][16][17][18][19][20][21][22][23][24]119 Findings noted in the current review also confirmed of the above theory. It was found that 51.5% patients with TBAA had a history of CRF with AVF creation in the affected limb and received 1-2 RTs.…”

Section: Discussionsupporting

confidence: 82%

“…It was observed that the upper end of a crutch put pressure in axilla which gradually damaged the brachial artery wall by pressing it against the humerus bone, causing aneurysm formation. [19][20][21][22][23][24] These findings shed light on the risk of aneurysm development associated with prolonged use of such walking aids and warrant caution to be taken by physicians and physiotherapists. 19 Remaining aetiologies / risk factors that were found included primary/idiopathic aneurysm, connective tissue 118 Symptoms observed were mostly upper extremity swelling and pain.…”

Section: Discussionmentioning

confidence: 99%

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True brachial artery aneurysm: A systematic review

Alam,

Saima Moin,

Rabia Gilani

et al. 2024

J Pak Med Assoc

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Objective: To identify and critically appraise literature on true brachial artery aneurysm, exploring its demographic characteristics, aetiologies, clinical manifestations and different methods of repair along with complication rates to determine future treatment strategies. Method: The systematic review was conducted at Liaquat National Hospital, Karachi, from September 30, 2021, to November 30, 2022, in line with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Literature was searched on MEDLINE, EMBASE and Cochrane databases for relevant studies in English language or with English translation published till May 31, 2022. The key words used for the search were “brachial artery aneurysm”. Data was noted on a proforma and was subjected to descriptive analysis. Results: Of 113 the articles, 6 (5.3%) were retrospective studies, 7 (6.1%) were case series and 100 (88.4%) were case reports. The total number of patients involved was 157 with mean age 43.1+23.4 years (range: 2 months to 84 years). The gender was mentioned for 152(96.8%) patients; 111(73%) and 41(27%) females. The mean diameter of true brachial artery aneurysm was 36.2+17.5mm and 106(67.5%) patients presented with localised swelling, 65(41.4%) with pain, 41(26.1%) with distal ischemic symptoms, and 28(17.8%) with median nerve compression. True brachial artery aneurysms were more common in renal failure patients having a history of arteriovenous fistula creation in the affected limb and were on immunosuppressant drugs due to renal transplant 81(51.5%). Less common causes included primary/idiopathic 27(17.1%), trauma 13(8.2%), connective tissue disorders 8(5%) and vascuilits 7(4.5%). ---Continue

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