Özet:

Objective: Pseudoaneurysm is rarely seen after percutaneous interventions from upper extremity arteries. In this study, we aimed to evaluate the demographic characteristics of patients with iatrogenic pseudoaneurysms in the upper extremities and the treatment methods for pseudoaneurysms. Material and Methods: We retrospectively reviewed the cases seventeen patients who were followed up in our clinic for pseudoaneurysm between 2012 and 2022. The endpoint was determined as nerve damage, compartment syndrome, thromboembolic event, fistula and the need for surgery. Nerve damage was determined as axonal degeneration, as seen by electromyography and symptoms. Results: Of the 17 patients included in the study, 8 developed radial artery pseudoaneurysms, 5 developed ulnar artery pseudoaneurysms, and 4 developed brachial artery pseudoaneurysms. While 15 were treated with conservative methods, 2 were treated surgically. One of the two underwent surgery due to a pseudoaneurysm with a diameter of 9X9 mm diagnosed in the late period, and the other underwent surgery due to pain and a pseudoaneurysm with a diameter of 36x26 mm. Ulnar nerve damage was detected in one patient. One patient was diagnosed with fistula. Ulnar nerve injury and brachial arterovenous fistula were treated with conservative methods without surgery. Conclusion: Most of the pseudoaneurysms developing after percutaneous intervention in the upper extremity arteries can be treated with conservative methods. Interventional cardiologists should know that different treatment methods are available for pseudoaneurysms and should be able to treat them successfully in light of the current data. Early diagnosis and treatment are of vital importance since late diagnosis leads to worse complications and the need for surgical intervention.

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