Document Detail


Iatrogenic venous pseudoaneurysm: case report and review of the literature.
MedLine Citation:
PMID:  19909684     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Iatrogenic venous pseudoaneurysm following venipuncture is an extremely rare complication of a very common medical procedure. A review of the vascular surgical literature revealed that only two cases of venous pseudoaneurysm secondary to venipuncture have been reported in the past half-century. We report the case of a 64-year-old anticoagulated male with a 7-month history of right arm swelling after venipuncture. The patient, on warfarin therapy for chronic atrial fibrillation, described progressive swelling at a previous venipuncture site. He eventually underwent limited two-dimensional ultrasonography, performed for a suspected hematoma, revealing a 4.3 x 3.3 x 2.0 cm pseudoaneurysm of the right basilic vein. These findings were later confirmed by a formal venous duplex sonogram. Similar to other forms of aneurysm and focal vascular dilation, the risks of venous psuedoaneurysm include embolism, thrombosis, and the compression of adjacent structures. Although both thrombin injection and coil embolization have been described as nonsurgical treatment options for arterial pseudoaneurysms, surgical resection may be the most appropriate approach for those with a venous equivalent. The segment of basilic vein containing the pseudoaneurysm was resected. This case demonstrates the need for physicians to consider venous pseudoaneurysm as a possible complication of venipuncture in individuals undergoing anticoagulation therapy.
Authors:
William H Ward; Timothy A Platz; Kathryn T Pond; Frederick A Southern; Erin M Moore
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Vascular     Volume:  17     ISSN:  1708-5381     ISO Abbreviation:  Vascular     Publication Date:    2009 Nov-Dec
Date Detail:
Created Date:  2009-11-13     Completed Date:  2010-02-04     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101196722     Medline TA:  Vascular     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  355-8     Citation Subset:  IM    
Affiliation:
Department of Vascular and Endovascular Surgery, Naval Medical Center Portsmouth, VA 23708, USA.
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MeSH Terms
Descriptor/Qualifier:
Aneurysm, False / etiology*,  surgery,  ultrasonography
Anticoagulants / adverse effects*
Humans
Iatrogenic Disease*
Ligation
Male
Middle Aged
Phlebotomy / adverse effects*
Treatment Outcome
Ultrasonography, Doppler, Duplex
Upper Extremity / blood supply*
Vascular Surgical Procedures
Chemical
Reg. No./Substance:
0/Anticoagulants

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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