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Pseudoaneurysm of the radial artery diagnosed by bedside ultrasound.

Pero T, Herrick J - West J Emerg Med (2009)

Bottom Line: A 42-year-old male presented to the emergency department with pain and swelling of his distal right wrist.Bedside ultrasound placed over the swelling revealed a pseudoaneurysm of the radial artery.The patient received percutaneous thrombin injection of the aneurysm sac followed by direct ultrasound compression therapy of the pseudoaneurysm neck, resulting in thrombosis of the sac.

View Article: PubMed Central - PubMed

Affiliation: Texas A&M University, Christus Spohn Memorial Hospital Emergency Department.

ABSTRACT
A 42-year-old male presented to the emergency department with pain and swelling of his distal right wrist. Bedside ultrasound placed over the swelling revealed a pseudoaneurysm of the radial artery. The patient received percutaneous thrombin injection of the aneurysm sac followed by direct ultrasound compression therapy of the pseudoaneurysm neck, resulting in thrombosis of the sac. The use of bedside ultrasound by the emergency physician led to appropriate care and proper disposition for definitive management.

No MeSH data available.


Related in: MedlinePlus

A) Pulsatile swelling on right distal wrist, B) Color doppler view showing classic “yin-yang” pattern of turbulent blood flow of a pseudoaneurysm and C) “To-and-fro” spectral waveform of a pseudoaneurysm neck not depicted in our study.
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f1-wjem-10-89: A) Pulsatile swelling on right distal wrist, B) Color doppler view showing classic “yin-yang” pattern of turbulent blood flow of a pseudoaneurysm and C) “To-and-fro” spectral waveform of a pseudoaneurysm neck not depicted in our study.

Mentions: Physical examination revealed a prominent swelling over the volar aspect of his right distal wrist but no overlying erythema (Figure 1A). Palpation of the swelling revealed a discrete pulsatile mass 4cm by 3cm. Distal to the swelling, the radial artery pulse could be palpated deeper and Allen’s test was negative for arterial insufficiency to the palm.


Pseudoaneurysm of the radial artery diagnosed by bedside ultrasound.

Pero T, Herrick J - West J Emerg Med (2009)

A) Pulsatile swelling on right distal wrist, B) Color doppler view showing classic “yin-yang” pattern of turbulent blood flow of a pseudoaneurysm and C) “To-and-fro” spectral waveform of a pseudoaneurysm neck not depicted in our study.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC2691519&req=5

f1-wjem-10-89: A) Pulsatile swelling on right distal wrist, B) Color doppler view showing classic “yin-yang” pattern of turbulent blood flow of a pseudoaneurysm and C) “To-and-fro” spectral waveform of a pseudoaneurysm neck not depicted in our study.
Mentions: Physical examination revealed a prominent swelling over the volar aspect of his right distal wrist but no overlying erythema (Figure 1A). Palpation of the swelling revealed a discrete pulsatile mass 4cm by 3cm. Distal to the swelling, the radial artery pulse could be palpated deeper and Allen’s test was negative for arterial insufficiency to the palm.

Bottom Line: A 42-year-old male presented to the emergency department with pain and swelling of his distal right wrist.Bedside ultrasound placed over the swelling revealed a pseudoaneurysm of the radial artery.The patient received percutaneous thrombin injection of the aneurysm sac followed by direct ultrasound compression therapy of the pseudoaneurysm neck, resulting in thrombosis of the sac.

View Article: PubMed Central - PubMed

Affiliation: Texas A&M University, Christus Spohn Memorial Hospital Emergency Department.

ABSTRACT
A 42-year-old male presented to the emergency department with pain and swelling of his distal right wrist. Bedside ultrasound placed over the swelling revealed a pseudoaneurysm of the radial artery. The patient received percutaneous thrombin injection of the aneurysm sac followed by direct ultrasound compression therapy of the pseudoaneurysm neck, resulting in thrombosis of the sac. The use of bedside ultrasound by the emergency physician led to appropriate care and proper disposition for definitive management.

No MeSH data available.


Related in: MedlinePlus