Pseudoaneurysm

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Pseudoaneurysm
Synonyms False aneurysm
Pronounce N/A
Specialty N/A
Symptoms Pain, swelling, pulsatile mass
Complications Rupture, thrombosis, infection
Onset After trauma, surgery, or catheterization
Duration Can be chronic if untreated
Types N/A
Causes Trauma, surgical procedures, vascular injury
Risks Atherosclerosis, hypertension, infection
Diagnosis Ultrasound, CT scan, MRI
Differential diagnosis True aneurysm, hematoma, abscess
Prevention Careful surgical technique, anticoagulation management
Treatment Ultrasound-guided compression, thrombin injection, surgical repair
Medication N/A
Prognosis Generally good with treatment
Frequency Common in vascular surgery patients
Deaths N/A


Radial artery pseudoaneurysm

A Pseudoaneurysm or false aneurysm is a hematoma that forms as the result of a leaking hole in an artery. Unlike a true aneurysm, which involves a dilation of all three layers of an artery, a pseudoaneurysm occurs when blood escapes from an artery into the surrounding tissue but is confined next to the artery to form a blood-filled sac.

Causes[edit]

Pseudoaneurysms can be caused by trauma that punctures the artery, such as a stab wound, or by damage to the artery from a catheter or a surgical procedure. They can also occur as a complication of infections that erode arterial walls.

Symptoms[edit]

Symptoms of a pseudoaneurysm can include a pulsating bulge near the site of the injury, pain, and swelling. If the pseudoaneurysm ruptures, it can cause internal bleeding.

Diagnosis[edit]

Diagnosis of a pseudoaneurysm can be made through various methods, including a physical examination, ultrasound, CT scan, or MRI. An angiogram can also be used to visualize the blood vessels and detect a pseudoaneurysm.

Treatment[edit]

Treatment options for a pseudoaneurysm depend on its size, location, and the patient's overall health. They can include watchful waiting, medication to lower blood pressure, or surgery. In some cases, a procedure called thrombin injection can be used to clot the blood and seal the pseudoaneurysm.

See also[edit]

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