Cunha Roberto, Silva Manuel, Henrique Alberto, Maximiano Pedro, Correia Mafalda, Vieira Isabel, Cássio Isabel, Oliveira Nelson, Dias Emanuel
Angiology and Vascular Surgery Department, Hospital do Divino Espírito Santo (HDES), Ponta Delgada, Azores, Portugal.
J Surg Case Rep. 2023 Aug 8;2023(8):rjad446. doi: 10.1093/jscr/rjad446. eCollection 2023 Aug.
Iatrogenic pseudoaneurysms (IPA) are a rare complication of transradial coronary intervention. This brief report aims to present a case report of a radial artery pseudoaneurysm and to review the current management of this entity. Because of the increased performance of transradial coronary intervention, IPA have become more common. Doppler ultrasonography is a fundamental tool to aid the differential diagnosis with other pathologies. There is no consensus on the treatment, which may range from conservative management to surgical repair. Close surveillance after the procedure and early diagnosis are essential to avoid serious complications, such as ischemia of the hand. The management of IPA depends upon morphological characteristics and associated symptoms.
医源性假性动脉瘤（IPA）是经桡动脉冠状动脉介入治疗的一种罕见并发症。本简要报告旨在呈现一例桡动脉假性动脉瘤的病例报告，并回顾该病症的当前治疗方法。由于经桡动脉冠状动脉介入治疗的实施增多，IPA已变得更为常见。多普勒超声检查是辅助与其他病症进行鉴别诊断的基本工具。对于治疗尚无共识，治疗方法可能从保守处理到手术修复不等。术后密切监测和早期诊断对于避免严重并发症（如手部缺血）至关重要。IPA的治疗取决于形态特征和相关症状。
