Brachial Artery Pseudoaneurysm After Supracondylar Humerus Fracture

2020 ◽  
Vol 10 (1) ◽  
pp. e0218-e0218
Author(s):  
Sarah C. Tepper ◽  
Caleb P. Gottlich ◽  
Isam W. Nasr ◽  
Paul D. Sponseller
Keyword(s):  
Brachial Artery ◽  
Humerus Fracture ◽  
Supracondylar Humerus Fracture ◽  
Artery Pseudoaneurysm

Delayed Presentation of a Brachial Artery Pseudoaneurysm After a Supracondylar Humerus Fracture in a 6-year-old Boy: A Case Report

2010 ◽  
Vol 30 (1) ◽  
pp. 57-59 ◽  
Author(s):  
Christopher Got ◽  
Tze-Woei Tan ◽  
Nikhil Thakur ◽  
Edward J. Marcaccio ◽  
Craig Eberson ◽  
...  
Keyword(s):  
Case Report ◽  
Brachial Artery ◽  
Humerus Fracture ◽  
Delayed Presentation ◽  
Supracondylar Humerus Fracture ◽  
Artery Pseudoaneurysm

scholarly journals A Rare Case of Pseudoaneurysm of the Brachial Artery in Supracondylar Humerus Fracture

2021 ◽  
Vol 11 (6) ◽  
Author(s):  
Shrihari L Kulkarni ◽  
Manjunath S Daragad ◽  
Sunil Mannual ◽  
Yashwanth Krishna
Keyword(s):  
Brachial Artery ◽  
Rare Case ◽  
Saphenous Vein Graft ◽  
Vascular Complications ◽  
Humerus Fracture ◽  
Type I ◽  
Supracondylar Humerus Fracture ◽  
Fractures In Children ◽  
Pulsatile Mass ◽  
Supracondylar Humerus Fractures

Introduction: Supracondylar humerus fractures are very common fractures in children. About 10–14% are associated with vascular complications. We report a rare case of pseudoaneurysm of the brachial artery which was promptly detected in a well-perfused hand nearly 2 weeks after reduction and fixation. Case Report: A 10-year-old girl with Type I open supracondylar fracture of the left humerus (Modified Gartland Type 2) presented 2 weeks post-fixation with pulsatile mass in the elbow. Imaging revealed a pseudoaneurysm of brachial artery which was managed by excision and reconstruction using great saphenous vein graft. The fracture united uneventfully and the child made a full return to pre-fracture level of activity. Conclusion: The case highlights the occurrence of pseudoaneurysm of brachial artery, a rare complication seen few days or weeks after the injury, which coincides with the post-operative period in children managed by surgical fixation. This emphasizes the need for periodic monitoring of the neurovascular status of the children even after successful reduction and fixation. Keywords: Supracondylar humerus fracture, vascular complication, pseudoaneurysm.

Pediatric brachial artery injury due to supracondylar humerus fractures: A case series

Vascular ◽  
2019 ◽  
Vol 27 (4) ◽  
pp. 451-453 ◽  
Author(s):  
Courtney Grant ◽  
Mark Theiss ◽  
Dipankar Mukherjee
Keyword(s):  
Brachial Artery ◽  
Case Series ◽  
Duplex Ultrasound ◽  
Humerus Fracture ◽  
Close Monitoring ◽  
Supracondylar Humerus Fracture ◽  
Surgical Exploration ◽  
Artery Injury ◽  
Supracondylar Humerus Fractures ◽  
Humerus Fractures

Objectives Two to 20% of pediatric supracondylar humerus fractures present with abnormal vascular examinations ranging from ischemic hands to perfused pulseless hands. Management of perfused pulseless hands with observation or surgical exploration remains debatable. We report management and outcomes of five cases at our institution. Methods Charts of patients <18 years old with supracondylar humerus fractures undergoing brachial artery exploration from 2009 to 2016 were reviewed. Results Five patients presented with supracondylar humerus fracture after falls. Closed reduction and percutaneous pinning resulted in five pink hands, one with a palpable pulse and one with return of radial Doppler signal. Two were admitted for observation and one underwent immediate brachial artery exploration. The four cases initially managed non-operatively underwent exploration. Intraoperative findings included three brachial artery entrapments, one arterial compression due to hematoma, and one complete arterial transection requiring thrombectomy and venous interposition graft. At follow-up, all patients had palpable radial pulses. Conclusions Perfused pulseless hands after supracondylar humerus fracture reduction require close monitoring. Cases without return of radial Doppler signals should undergo immediate brachial exploration. We recommend duplex ultrasound for the diagnosis of brachial artery injury as an early guide to surgical exploration to prevent treatment delay and arm or hand ischemia.

Pseudoaneurysm of the brachial artey in two infants following accidental artertial puncture

VASA ◽  
2005 ◽  
Vol 34 (3) ◽  
pp. 198-200 ◽  
Author(s):  
Yilmaz ◽  
Dogan ◽  
Tok ◽  
Hazirolan ◽  
Guvener ◽  
...  
Keyword(s):  
Blunt Trauma ◽  
Vascular Access ◽  
Brachial Artery ◽  
Fibrous Tissue ◽  
Arterial Puncture ◽  
Artery Pseudoaneurysm

A pseudoaneurysm is defined as an aneurysmatic sac surrounded by fibrous tissue instead of other vascular layers such as the muscular one. It is a rare incident in infants especially in the brachial artery. Blunt trauma and vascular access attempts are the most common etiologic factors. We present two infants with brachial artery pseudoaneurysm in the antecubital region following accidental arterial puncture.

Synovial Cyst of the Antecubital Fossa Mimicking a Brachial Artery Pseudoaneurysm: Report of a Case

2014 ◽  
Vol 28 (5) ◽  
pp. 1323.e13-1323.e16 ◽  
Author(s):  
Konstantinos Filis ◽  
George Galyfos ◽  
Andreas Larentzakis ◽  
Evridiki Karanikola ◽  
Constantinos Zarmakoupis
Keyword(s):  
Brachial Artery ◽  
Synovial Cyst ◽  
Antecubital Fossa ◽  
Artery Pseudoaneurysm

scholarly journals Pseudoaneurisma Arteri Brakialis Pasca Kateterisasi Laporan Kasus

e-CliniC ◽  
2019 ◽  
Vol 7 (1) ◽  
Author(s):  
Natalia Ch. Polii ◽  
Janry A. Pangemanan ◽  
Agnes L. Panda ◽  
Ira Posangi
Keyword(s):  
Brachial Artery ◽  
Colour Doppler ◽  
Ultrasound Guided ◽  
Compression Technique ◽  
Artery Pseudoaneurysm ◽  
Neck Size ◽  
Chief Complaints ◽  
Pulsed Wave Doppler ◽  
History Of ◽  
The Right

Abstract: Post-catheterization PSA occurs at the site of arterial puncture followed by incomplete hemostasis. We reported a 63-year-old male visited the emergency department of Prof Dr. R. D. Kandou Hospital with chief complaints of swelling and severe pain on the right arm, occured 6 days prior to the ER visit. His right arm looked darker and felt colder than the counterpart, felt numb, and was hard to move due to pain. Three months ago, the patient had a history of percutaneous transluminal coronary angiography through brachial artery access. Examination of the right upper extremity revealed hematoma at brachial artery puncture site, edema at 1/3 distal of the brachial region, cold acral areas, strong right brachial artery pulses, yet small radial ones. Vascular Doppler examination showed a superficial hematoma above the brachial artery and a PSA pouch of 1.23 x 1.67 cm with a small neck (<0.5 cm). Colour Doppler displayed a “yin and yang” flow at pouch, while pulsed-wave Doppler showed a “to and fro” wave through the neck. Patient was diagnosed as iatrogenic brachial artery pseudoaneurysm and managed with ultrasound-guided compression technique followed by continuous compression with elastic bandage. This technique was selected due to the PSA size less than 3 cm yet symptomatic, small neck size (<1 cm), and no size progression. Patient discharged after the PSA pouch and neck shrinked. On 6 months follow-up, neither neck nor pseudoaneurysm pouch were found.Keywords: pseudoaneurysm, ultrasound-guided compression Abstrak: PSA pasca kateterisasi terjadi pada arteri yang dipungsi tetapi tidak terjadi hemostasis sempurna. Kami melaporkan seorang laki-laki berusia 63 tahun datang di Instalasi Rawat Darurat Medik RSUP Prof. Dr. R. D. Kandou dengan keluhan utama bengkak dan nyeri hebat pada lengan kanan sejak 6 hari SMRS dan memberat pada satu hari terakhir. Tangan kanan tampak lebih gelap dibandingkan tangan kiri, teraba dingin, terasa kebas dan sulit digerakkan karena nyeri. Tiga bulan sebelumnya pasien dilakukan tindakan intervensi koroner perkutan. Pada pemeriksaan ekstremitas atas kanan tampak hematoma di daerah pungksi, edema setinggi 1/3 distal regio brachialis sampai ujung jari, akral teraba dingin, pulsasi arteri brakialis teraba kuat tetapi arteri radialis teraba kecil. Pemeriksaan Doppler vascular mendapatkan gambaran hematoma superfisial dari arteri brakialis dan tampak kantong PSA berukuran 1,23x1,67 cm dengan neck berukuran kecil (<0,5 cm) Pada colour Doppler didapatkan aliran pada kantong pseudoaneurisma seperti gambaran yin dan yang. Pada pulsed-wave Doppler di saluran PSA (neck) didapatkan gelombang “to and fro”. Berdasarkan anamnesis, pemeriksaan fisik dan penunjang pasien ini didiagnosis dengan PSA arteri brakialis iatrogenik (pasca kateterisasi). Penanganan dengan ultrasound-guided compression dan dilanjutkan dengan kompresi kontinu dengan bebat elastik. Pemilihan teknik kompresi ini berdasarkan pada ukuran kantong <3 cm namun bergejala, ukuran neck kecil <1cm serta tidak didapatkan pembesaran progresif. Pasien dipulangkan setelah kantong maupun neck PSA tampak mengecil, dan 6 bulan setelahnya tidak lagi terlihat neck maupun kantong PSA.Kata kunci: pseudoaneurisma, ultrasound-guided compression

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