Radial artery pseudoaneurysm complicating a Brescia-Cimino dialysis fistula.
The authors describe an unusual case of radial artery pseudoaneurysm in a patient with a Brescia-Cimino fistula. Evaluation of a pulsatile mass on the patient's forearm which occurred after hemodialysis led to a nondiagnostic fistulogram. Color flow ultrasound was helpful in identifying the nature of the abnormality, which was subsequently confirmed arteriographically. This case illustrates that fistulography is not 100% sensitive and should be supplemented with other imaging modalities when the clinical and fistulographic findings are discordant.
Labus
T P
TP
Department of Radiology, Indiana University Medical Center, University Hospital, Indianapolis 46202-5253, USA.
Trerotola
S O
SO
Savader
S J
SJ
D000328:Adult; D000755:Anemia, Sickle Cell / Q000150:complications; D017541:Aneurysm, False / Q000175:diagnosis* / Q000000981:diagnostic imaging; D005260:Female; D006801:Humans; D007676:Kidney Failure, Chronic / Q000150:complications / Q000628:therapy; D017534:Radial Artery / Q000000981:diagnostic imaging*; D006435:Renal Dialysis / Q000009:adverse effects*; D018615:Ultrasonography, Doppler, Color