False Aneurysm of the Proper Palmar Digital Artery — Report of a Case

Ballas, Konstantinos; Rafailidis, S.; Κούσκουρας, Κωνσταντίνος; Fardellas, J.; Alatsakis, Michael; Sakadamis, Athanassios

doi:10.1080/00015458.2006.11679885

Cited by 5 publications

(2 citation statements)

References 16 publications

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“…A case of false aneurysm of the radial proper palmar digital artery located in the tip of the right index finger was reported by Ballas et al [7]. The aneurysm was the result of blunt trauma and the diagnosis was made by contrast-enhanced magnetic resonance angiography.…”

Section: Handmentioning

confidence: 94%

Pseudoaneurysms in haemophilia

Rodríguez-Merchán

2013

Blood Coagulation &Amp; Fibrinolysis

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The incidence of bleeding as a result of a pseudoaneurysm in haemophilia is very low. The diagnosis should be suspected if the patient has a history of arterial trauma. Pseudoaneurysms can appear anywhere where trauma occurs. This can include arterial access for catheterization, blunt trauma or penetrating trauma. The diagnosis should be confirmed using Duplex ultrasonography, computed tomography (CT) angiogram or conventional angiogram. Many options exist for the treatment of pseudoaneurysms. Although surgery was the gold standard treatment in the past (surgical ligation with or without distal bypass), several less invasive treatment options are popular today. They include covered stent, ultrasound probe compression and ultrasound-guided thrombin injection. So far, only 14 pseudoaneurysms have been reported in patients with haemophilia: nine were located in the musculoskeletal system (four in the hand, four in the knee, one in the ankle), whereas five were non-musculoskeletal. Early diagnosis and treatment of this complication is vital. Endovascular treatment offers a minimally invasive treatment option. If arterial embolization fails to solve the pseudoaneurysm, open vascular surgery with surgical ligation with or without distal bypass should be performed. Whatever the procedure, a correct surgical haemostasis must be achieved by the infusion of factor concentrate (recombinant or plasma-derived) at the right dose and tranexamic acid. The advent of activated prothrombin complex concentrates and recombinant factor VIII (rFVIIa) has made invasive procedures possible in haemophilia patients with high-titre inhibitors.

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Section: Handmentioning

confidence: 94%

Pseudoaneurysms in haemophilia

Rodríguez-Merchán

2013

Blood Coagulation &Amp; Fibrinolysis

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“…We found that a preoperative ultrasound scan provided simple, non-invasive confirmation of the suspected diagnosis, and although others have reported success using angiography or magnetic resonance [2,7,8], ultrasound does not need intravenous contrast agents, is patient-friendly, and its near field resolution is superior to that of the other techniques in diagnosing small lesions in the hand. Plain radiographs have been helpful only in cases in which a longstanding aneurysm has caused erosive changes to adjacent bone [9].…”

Section: Discussionmentioning

confidence: 87%

Post-traumatic false aneurysm in a digital artery of the finger

Chaudhry

Allen²,

Rajaratnam

2011

Journal of Plastic Surgery and Hand Surgery

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False aneurysm of a proper digital artery caused by repetitive microtrauma in a 16-year-old baseball player

Miyamoto

Yamamoto

Inoue

et al. 2008

Arch Orthop Trauma Surg

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We report a case of false aneurysm of a proper digital artery of the thumb in a 16-year-old baseball player. Resection of the aneurysm and end-to-end anastomosis resulted in relief of the patient's symptoms and recovery allowing a return to baseball activity. Repetitive microtrauma, which is an atypical cause of a false aneurysm, to the ulnar aspect of the left thumb caused by swinging a bat led to formation of the false aneurysm. Although the occurrence of an aneurysm related to a sports activity is rare, surgeons should consider aneurysm as a possible diagnosis in a case with mass formation of the hand related to sports activity.

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False Aneurysm of the Proper Palmar Digital Artery — Report of a Case

Cited by 5 publications

References 16 publications

Pseudoaneurysms in haemophilia

Pseudoaneurysms in haemophilia

Post-traumatic false aneurysm in a digital artery of the finger

False aneurysm of a proper digital artery caused by repetitive microtrauma in a 16-year-old baseball player

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