Esposito Gloria, Marone Enrico Maria, De Dominicis Davide, Tshomba Yamume, Chiesa Roberto
Department of Vascular Surgery, Vita-Salute University, Scientific Institute H. San Raffaele, Milan, Italy.
Ann Vasc Surg. 2006 Jul;20(4):512-7. doi: 10.1007/s10016-006-9045-8. Epub 2006 Apr 20.
Hand and wrist aneurysms are a rare pathology, but recently the number of cases is increasing because of iatrogenic injuries such as catheter placement for endovascular procedures, invasive blood pressure monitoring, and arterial blood collection. In the period between January 1992 and January 2005, seven patients were treated at our institution for hand and wrist aneurysms. Five were true aneurysms and two were false aneurysms. All patients underwent surgery: four had aneurysmectomy and ligation of the arterial stumps and three had lesion removal, with arterial break suture in two cases and reconstruction with interposition of reversed autologous vein in the other case. In all cases, we did not have any postoperative ischemic or neurological complications. Symptoms like pain, paresthesia, and disesthesia combined with the minimal morbidity associated with repair suggest that operative repair of these aneurysms should be routinely performed.
手部和腕部动脉瘤是一种罕见的病理情况，但由于诸如血管内手术的导管置入、有创血压监测和动脉采血等医源性损伤，近年来病例数量呈上升趋势。在1992年1月至2005年1月期间，我院共收治了7例手部和腕部动脉瘤患者。其中5例为真性动脉瘤，2例为假性动脉瘤。所有患者均接受了手术治疗：4例行动脉瘤切除术并结扎动脉残端，3例行病变切除术，其中2例行动脉断端缝合，1例行自体静脉倒置移植重建术。所有病例术后均未出现缺血或神经并发症。疼痛、感觉异常和感觉迟钝等症状，再加上修复相关的低发病率，提示这些动脉瘤的手术修复应常规进行。
