Dialysis access pseudoaneurysm: endovascular treatment with a covered stent.
Iatrogenic pseudoaneurysms of the brachial artery are rare complications of haemodialysis access procedures and can lead to substantial morbidity and mortality if not managed promptly; however, surgery is also associated with the potential risk of severe complications. We describe the clinical and radiological findings relating to a dialysed patient who developed a huge iatrogenic pseudoaneurysm of the brachial artery (due to an inadvertent artery puncture), which was successfully treated by means of the percutaneous implantation of a polytetrafluoroethylene (PTFE)-covered stent.
Division of Cardiology, Fondazione IRCCS, Ospedale Maggiore Policlinico Mangiagalli e Regina Elena, Milano, Italy. marco.centola@unimib.it
Marco
M
Centola
Roberto
R
Ferraresi
Gian B
GB
Danzi
D000368:Aged; D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D001916:Brachial Artery; D057510:Endovascular Procedures / Q000379:methods*; D005500:Follow-Up Studies; D006801:Humans; D007049:Iatrogenic Disease; D007676:Kidney Failure, Chronic / Q000175:diagnosis / Q000628:therapy; D008297:Male; D011859:Radiography; D006435:Renal Dialysis / Q000009:adverse effects / Q000379:methods; D018570:Risk Assessment; D015607:Stents; D016896:Treatment Outcome; D062666:Vascular Access Devices / Q000009:adverse effects*