Case Reports
doi: 10.25005/2074-0581-2019-21-3-513-519
FALSE ANEURYSM OF THE RADIAL ARTERY: BRIEF LITERATURE REVIEW AND CASE REPORT

M.Kh. Malikov1, O. Nematzoda2, I.K. Giyosiev2, Khayrulloi Nazrillo2, N.A. Makhmadkulova3

1Department of Surgical Diseases № 2, Avicenna Tajik State Medical University, Dushanbe, Republic of Tajikistan
2Republican Scientific Center for Cardiovascular Surgery, Dushanbe, Republic of Tajikistan
3Department of Operative Surgery and Topographic Anatomy, Tajik State Medical University, Dushanbe, Republic of Tajikistan

The article describes a case of successful treatment of pseudoaneurysm of the radial artery (PRA). The peculiarity of the described case is that as a result of injury in the lower third of the forearm there was damage to the lateral wall of the radial artery; against the background of the pressure bandage, the artery defect temporarily clotted, and there were no signs of bleeding. In this regard, in the initial surgical treatment of the wound, the surgeon did not pay attention to the condition of the artery wall and put stitches on the skin. Subsequently, due to the resumption of bleeding, a pulsatile hematoma was spread in its further transformation into a false aneurysm. PRA can lead to the development of dangerous complications – rupture, bleeding, infection, compression of nerve trunks of the forearm. In order to avoid their development, it is necessary in all cases to eliminate the PRA. Currently, proposed mini-invasive interventions: endovascular aneurysm embolization, stent-grafting of vascular defect, compression method, as well as puncture technique by injecting thrombin into the cavity of the PRA under X-ray control. However, the experience of their application shows that, despite all their advantages, open operations continue to be the «gold standard» in the treatment of PRA. The authors of the article also adhered to this tactic, which allowed them to achieve a good result.

Keywords: False aneurysm, radial artery, diagnosis, surgical treatment.

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Authors' information:

Malikov Mirzobadal Khalifaevich
Doctor of Medical Sciences, Head of the Department of Surgical Diseases № 2, Avicenna Tajik State Medical University
ORCID ID: 0000-0002-7816-5521
E-mail: mmirzobadal@mail.ru

Nematzoda Okildzhon
Candidate of Medical Sciences, Leading Researcher, Republican Scientific Center for Cardiovascular Surgery
ORCID ID: 0000-0001-6857-6653
E-mail: sadriev_o_n@mail.ru

Giyosiev Ibrokhim Kaloniddinovich
Endovascular Surgeon, Applicant, Republican Scientific Center for Cardiovascular Surgery
ORCID ID: 0000-0003-0709-1446

Khayrulloi Nazrillo
Postgraduate Student, Republican Scientific Center for Cardiovascular Surgery
ORCID ID: 0000-0001-6030-858X

Makhmadkulova Nigora Akhtamovna
Assistant of the Department of Operative Surgery and Topographic Anatomy, Avicenna Tajik State Medical University
ORCID ID: 0000-0002-4269-6611

Information about support in the form of grants, equipment, medications

The authors did not receive financial support from manufacturers of medicines and medical equipment.

Conflicts of interest: No conflict

Address for correspondence:

Nematzoda Okildzhon
Candidate of Medical Sciences, Leading Researcher, Republican Scientific Center for Cardiovascular Surgery

734003, Republic of Tajikistan, Dushanbe, 33 Sanoi street

Tel.: +992 (915) 250055

E-mail: sadriev_o_n@mail.ru

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