Trihan Jean-Eudes, Lebuhotel Iris, Desvergnes Mathieu, Schneider Fabrice
Department of Vascular Medicine, University hospital center of Poitiers, Poitiers, France.
Department of Vascular Surgery, University hospital center of Poitiers, Poitiers, France.
Vasa. 2020 Aug;49(5):418-421. doi: 10.1024/0301-1526/a000870. Epub 2020 May 4.
Post-catheterization pseudoaneurysms are a well-known complication of many endovascular procedures at the site of arterial puncture. However, long-term neurological complications due to undiagnosed compression are rare. A 60-year-old man presented to our unit for round, non-pulsatile, painless swelling in the inner side of his upper arm. Clinical examination showed finger paralysis, associated with amyotrophy of the forearm. Large brachial pseudoaneurysm with median nerve compression was diagnosed. The patient underwent autologous vein bypass, with poor 6-month neurological recovery. Early diagnosis of pseudoaneurysms is paramount because, when associated with nerve compression, the longer the diagnostic delay, the poorer the neurological prognosis.
导管插入术后假性动脉瘤是许多血管内手术在动脉穿刺部位常见的并发症。然而，因未诊断出的压迫导致的长期神经并发症很少见。一名60岁男性因上臂内侧出现圆形、非搏动性、无痛性肿胀前来我院就诊。临床检查发现手指麻痹，并伴有前臂肌肉萎缩。诊断为伴有正中神经受压的大型肱动脉假性动脉瘤。该患者接受了自体静脉搭桥手术，但6个月时神经恢复情况不佳。假性动脉瘤的早期诊断至关重要，因为当与神经受压相关时，诊断延迟越长，神经预后越差。
