A rare cause of steal phenomenon and ischemic pain: A radial artery pseudoaneurysm

Abstract

Catheter insertion and forearm arteriovenous shunts are the main reasons for pseudoaneurysms in the practice of cardiovascular surgery. Radial artery pseudoaneurysm from arterial wall disruption is an extremely rare complication of arterial approach. Herein, we report a case of radial pseudoaneurysm repair leading to steal phenomenon and ischemic pain which occurred following the closure of the arteriovenous fistula located between the radial artery and cephalic vein in the medial aspect of the right forearm in a 37-year-old male receiving regular hemodialysis for chronic renal failure.

Keywords

• Radial pseudoaneurysm
• Arteriovenous fistula
• Steal phenomenon

Çalma fenomeni ile iskemi ağrısının nadir bir nedeni: Radial arter psödoanverizması

Öz

Kalp ve damar cerrahisinde psödoanevrizmaların en önemli nedeni, kateter uygulamaları ve ön kolda açılan arteriyovenöz şantlardır. Arteriyel duvar bozulmasından kaynaklanan radyal arter psödoanevrizması, arteriyel yaklaşımın oldukça nadir görülen bir komplikasyonudur. Bu yazıda, kronik böbrek yetmezliği nedeniyle rutin hemodiyalize giren 37 yaşında erkek bir olguda, efektif çalışmayan sağ ön kol medial yüzde radial arter ve sefalik ven arasında arteriyovenöz fistülün kapatılması sonrasında oluşan ve çalma fenomeni nedeniyle iskemi ağrısı oluşturan radial arter psödoanevrizma tamiri sunuldu.

Anahtar Kelimeler

• Radial psödoanevrizma
• Arteriyovenöz fistül
• Çalma fenomeni

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