Effective compression bandage for repair of a complicated radial artery pseudoaneurysm.
We describe a 10-week-old hemophilic infant who developed a large-sized pseudoaneurysm of the radial artery after arterial puncture. Based on our previous experience, compression bandage was elected as first-line treatment. The clinical course was complicated by skin ulceration. However, compression bandage was continued, and complete thrombosis of the pseudoaneurysm occurred after 4 weeks of treatment, preserving arterial patency. Bedside clot evacuation and enzymatic debridement promoted rapid wound healing with negligible scar formation. Compression bandage is a safe and valuable measure for repair of radial artery pseudoaneurysm, even in patients with clotting disorders. Professionals are encouraged to consider the benefit of such an artery-sparing treatment option.
Pediatric Surgery Unit, Sapienza University of Rome, Azienda Policlinico Umberto I, Rome, Italy; Institute of Child Health, University College London, London, UK.
Silvia
S
Ceccanti
Pediatric Surgery Unit, Sapienza University of Rome, Azienda Policlinico Umberto I, Rome, Italy.
Simone
S
Frediani
Pediatric Radiology Unit, Sapienza University of Rome, Azienda Policlinico Umberto I, Rome, Italy.
Gian Marco
GM
Andreoli
Neonatal Intensive Care Unit, Sapienza University of Rome, Azienda Policlinico Umberto I, Rome, Italy.
Luigi
L
Giannini
Neonatal Intensive Care Unit, Sapienza University of Rome, Azienda Policlinico Umberto I, Rome, Italy.
Rosalia
R
Ferro
Pediatric Surgery Unit, Sapienza University of Rome, Azienda Policlinico Umberto I, Rome, Italy. Electronic address: da.cozzi@uniroma1.it.
Denis A
DA
Cozzi
D017541:Aneurysm, False / Q000000981:diagnostic imaging / Q000628:therapy*; D058128:Compression Bandages; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D017534:Radial Artery; D014463:Ultrasonography