title: Hand and wrist arterial aneurysms.
abstract: 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.
authors.affiliation: Department of Vascular Surgery, Vita-Salute University, Scientific Institute H. San Raffaele, Milan, Italy.
authors.forename: Gloria
authors.initials: G
authors.lastname: Esposito
authors.forename: Enrico Maria
authors.initials: EM
authors.lastname: Marone
authors.forename: Davide
authors.initials: D
authors.lastname: De Dominicis
authors.forename: Yamume
authors.initials: Y
authors.lastname: Tshomba
authors.forename: Roberto
authors.initials: R
authors.lastname: Chiesa
mesh_terms: D000328:Adult; D000368:Aged; D000783:Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery*; D000792:Angiography; D001158:Arteries / Q000601:surgery; D005260:Female; D006225:Hand / Q000098:blood supply*; D006801:Humans; D008026:Ligation; D008297:Male; D008875:Middle Aged; D013536:Suture Techniques; D014680:Veins / Q000637:transplantation; D014953:Wrist / Q000098:blood supply*