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Hand and Wrist Arterial Aneurysms

  • Clinical Research
  • Published:
Annals of Vascular Surgery

Abstract

Hand and wrist aneurysms are a rare pathology, but recently the number of cases is increasing because of iatrogenic injuries such as catheter placement for endovascular procedures, invasive blood pressure monitoring, and arterial blood collection. In the period between January 1992 and January 2005, seven patients were treated at our institution for hand and wrist aneurysms. Five were true aneurysms and two were false aneurysms. All patients underwent surgery: four had aneurysmectomy and ligation of the arterial stumps and three had lesion removal, with arterial break suture in two cases and reconstruction with interposition of reversed autologous vein in the other case. In all cases, we did not have any postoperative ischemic or neurological complications. Symptoms like pain, paresthesia, and disesthesia combined with the minimal morbidity associated with repair suggest that operative repair of these aneurysms should be routinely performed.

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References

  1. Guattani C. De extremis aneurismatibus manu chirurgica methodice penetrandis. Rome, 1772. Erichsen JE (trans). London: Syndenham Society, 1844, 268 pp

  2. Middleton DS. Occupational aneurysms of the palmar arteries. Br J Surg 1933;21:215

    Article  Google Scholar 

  3. Smith JW. True aneurysms of traumatic origin in the palm. Am J Surg 1962;104:7-11

    Article  PubMed  CAS  Google Scholar 

  4. Chapuis Y, Barrat J, Charron E. Aneurysmes arteriels de la paume de la mains. Chirurgie 1976;102:447-457

    Google Scholar 

  5. Clark ET, Mass DP, Bassiouny HS, Zarins CK, Gevertz BL. True aneurysmal disease in the hand and upper extremity. Ann Vasc Surg 1991;5:271-285

    Article  Google Scholar 

  6. Ho PK, Weiland AJ, McClinton MA, Wilgis EFS. Aneurysms of the upper extremity. J Hand Surg [Am.] 1987;12:19-46

    Google Scholar 

  7. Kleinert HE, Buyet GC, Morgan JA, Kutz JE, Atasay E. Aneurysms of the hand. Arch Surg 1973;106:554-557

    PubMed  CAS  Google Scholar 

  8. Malt S. An atherosclerotic aneurysm of the hand. Arch Surg 1978;113:762-763

    PubMed  CAS  Google Scholar 

  9. Nitsure MY, Hiremath MS, Grant PK, Galati MR, Wadia RS. Kawasaki syndrome with multiple arterial aneurysms. Indian Pediatr 1988;25:881-888

    PubMed  CAS  Google Scholar 

  10. Baxt S, Mori K, Hoffman S. Aneurysm of the hand secondary to Kaposi’s sarcoma. J Bone Joint Surg Am 1975;57:995-997

    PubMed  CAS  Google Scholar 

  11. Durham JR, McIntyre KE. Adventitial cyst disease of the radial artery. J Cardiovasc Surg 1989;30:517-520

    CAS  Google Scholar 

  12. Jayle C, Corbi P, Lanquetot H, Godet C, Menu P. Radial artery aneurysm: an unusual complication of catheterisation. Ann Chir 2002;127:631-633

    Article  PubMed  CAS  Google Scholar 

  13. Smith JW. True aneurysms of traumatic origin in the palm. Am J Surg 1962;104:7-13

    Article  PubMed  CAS  Google Scholar 

  14. Kleinert HE, Burget GC, Morgan JA. Aneurysms of the hand. Arch Surg 1973;106:554

    PubMed  CAS  Google Scholar 

  15. Kerr CD, Duffey TP. Traumatic false aneurysm of the radial artery. J Trauma 1988;28:1603-1604

    Article  PubMed  CAS  Google Scholar 

  16. Dooley TW, Welsh CF, Puckett CL. Noninvasive assessment of microvessels with the duplex scanner. J Hand Surg [Am.] 1989;14:670-673

    Article  CAS  Google Scholar 

  17. Maurer AH, Holder LE, Espinols DA, Rupani HD, Wilgis EF. Three phase radionuclide scintigraphy of the hand. Radiology 1983;146:761-775

    PubMed  CAS  Google Scholar 

  18. Carniero RDS. Aneurysms of the wrist. Plast Surg 1974;54:482-489

    Google Scholar 

  19. Gage M. Traumatic arterial aneurysms of the peripheral arteries. Am J Surg 1943;59:210–231

    Google Scholar 

  20. Spittel JA. Aneurysms of the hand and wrist. Med Clin North Am 1958;42:1007-1010

    PubMed  Google Scholar 

  21. Lanzetta M, Fox U. Aneurysms of the palmar arch and proper digital artery: case report and literature review. J Reconstr Microsurg 1992;59:210-231

    Google Scholar 

  22. Corso R, Carrafiello G, Intotero M, Solcia M. Large iatrogenic pseudoaneurysm of the posterior tibial artery treated with sonographically guided thrombin injection. AJR Am J Roentgenol 2003;180:1479-1480

    PubMed  Google Scholar 

  23. Schneider PA, Abcarian PW, Leduc JR, Ogawa DY. Stent-graft repair of mycotic superficial femoral artery aneurysm using a Palmaz stent and autologous saphenous vein. Ann Vasc Surg 1998;12:282-285

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Department of Vascular Surgery, “Vita-Salute” University, Scientific Institute H. San Raffaele, Milan, Italy

    Gloria Esposito MD, Enrico Maria Marone MD, Davide De Dominicis MD, Yamume Tshomba MD & Roberto Chiesa MD

  2. Department of Vascular Surgery, IRCCS H. San Raffaele, Via Olgettina 60, 20132, Milan, Italy

    Enrico Maria Marone MD

Authors
  1. Gloria Esposito MD
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  2. Enrico Maria Marone MD
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  3. Davide De Dominicis MD
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  4. Yamume Tshomba MD
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  5. Roberto Chiesa MD
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Corresponding author

Correspondence to Enrico Maria Marone MD.

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Esposito, G., Marone, E.M., De Dominicis, D. et al. Hand and Wrist Arterial Aneurysms. Ann Vasc Surg 20, 512–517 (2006). https://doi.org/10.1007/s10016-006-9045-8

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  • DOI: https://doi.org/10.1007/s10016-006-9045-8

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