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. © 2014 Elsevier Inc. All rights reserved.
Effective compression bandage for repair of a complicated radial artery pseudoaneurysm / Ceccanti, Silvia; Frediani, Simone; Gian Marco, Andreoli; Giannini, Luigi; Ferro, Rosalia; Cozzi, Denis. - In: ANNALS OF VASCULAR SURGERY. - ISSN 1615-5947. - 28:5(2014), pp. 1319.e9-1319.e12. [10.1016/j.avsg.2013.12.006]
Effective compression bandage for repair of a complicated radial artery pseudoaneurysm
CECCANTI, SILVIA;FREDIANI, SIMONE;GIANNINI, Luigi;FERRO, Rosalia;COZZI, Denis
2014
Abstract
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. © 2014 Elsevier Inc. All rights reserved.I documenti in IRIS sono protetti da copyright e tutti i diritti sono riservati, salvo diversa indicazione.
