Bagir Melih, Sayit Emrah, Tanrivermis Sayit Asli
Department of Orthopaedics and Traumatology, Samsun Education and Research Hospital, Samsun, Turkey.
Department of Radiology, Ondokuz Mayis University, Samsun, Turkey.
Ann Vasc Surg. 2017 May;41:280.e7-280.e10. doi: 10.1016/j.avsg.2016.09.027. Epub 2017 Feb 27.
Pseudoaneurysm of the radial artery is extremely rare. It usually occurs secondary to trauma, interventional procedures, and infections. Symptoms occur due to mass effect by the pseudoaneurysm, digital ischemia, or nerve suppression. B-mode and color Doppler ultrasonography are the first choice in diagnosis. The pathognomonic ultrasound sign of pseudoaneurysm is the turbulent flow, which is called the "ying-yang" sign. Bandages, ultrasound probe compression, ultrasound-guided thrombin injection, covered stents, and surgical ligation can be used in treatment. In here, we present the case of a 28-year-old woman who developed a radial artery pseudoaneurysm after a stabbing injury in her hand and discuss the radiological and treatment options.
桡动脉假性动脉瘤极为罕见。它通常继发于外伤、介入操作和感染。症状是由假性动脉瘤的占位效应、手指缺血或神经受压引起的。B超和彩色多普勒超声检查是诊断的首选方法。假性动脉瘤的特征性超声表现是血流紊乱,即所谓的“阴阳”征。绷带包扎、超声探头压迫、超声引导下注射凝血酶、覆膜支架置入和手术结扎均可用于治疗。在此,我们报告一例28岁女性手部刺伤后发生桡动脉假性动脉瘤的病例,并讨论其影像学表现及治疗选择。