Iatrogenic Brachial Artery Pseudoaneurysm Repair in a Patient with Prior Distal Revascularization and Interval Ligation Procedure

Kochupura PV, O’Gorman NF, Lance LM and Zickler RW

Department of Vascular Surgery, CaroMont Regional Medical Center, USA

^*Correspondance to: Paul V. Kochupura 

 PDF  Full Text DOI: 10.25107/2474-1647.1055

Abstract

Distal revascularization with interval ligation (DRIL) is a proven method to resolve symptoms of ischemia related to dialysis access. We present the management of patient with a large brachial artery pseudoaneurysm as an unusual complication in a patient who had previously undergone a DRIL procedure for ischemia. Inadvertent access of the brachial artery bypass occurred during routine dialysis, resulting in a five centimeter brachial artery pseudoaneurysm. Surgical repair of the pseudoaneurysm was performed with a reoperative brachial artery bypass resulting in patency of the fistula and revascularization of the hand. Risk factors and management options for this unusual complication are discussed.

Keywords

Cite the article

Kochupura PV, O�Gorman NF, Lance LM, Zickler RW. Iatrogenic Brachial Artery Pseudoaneurysm Repair in a Patient with Prior Distal Revascularization and Interval Ligation Procedure. Clin Surg. 2016; 1: 1055.