Traumatic Radial Artery Pseudoaneurysm: Vein Graft Repair through a Single Incision

Abstract

Summary Radial artery pseudoaneurysms are rare clinical entities usually occurring after penetrating trauma or iatrogenic injury. The radial artery is the least common location for peripheral artery pseudoaneurysms, and no clear standard of treatment exists. We present a case of an adolescent male who developed a radial artery pseudoaneurysm after slitting his wrists. Using a single incision, the radial artery pseudoaneurysm was excised and repaired using a reversed venae comitantes interposition graft. This single incision technique for radial artery pseudoaneurysm repair preserves the dual arterial supply to the hand, which is of particular importance in young patients.

Post-Traumatic Radial Artery Pseudoaneurysm at the Wrist Level: A Case Report

“…In this study, with the swelling being a large one and greater than 1 cm along with complication of ulceration, surgical modality was chosen as the treatment option, and end-to-end repair of the excised pseudoaneurysm with an interposition vein graft taken from the radial artery vena comitantes was done through the same incision, which was previously reported by Simmons et al [9]. This was possible as the size of the venae comitantes was comparable to the artery.…”