Radial artery aneurysms: Two case reports with different aetiologies.

Author : Dr Anshuman Darbari

Abstract :An artery is aneurysmal if, it’s focal diameter is more than 1.5 times of the standard size. True aneurysm is defined as the dilatation at the weakened wall containing all the layers of the arterial wall, and it develop as a result of the weakening of the arterial wall. True Radial artery aneurysms are mostly idiopathic, and rarely encountered. This aneurysm type is usually asymptomatic, so it can easily be misdiagnosed as ganglion or lipoma, leading to incorrect management [1]. Another type of Radial artery aneurysm is false or pseudo-aneurysm. This is now more common due to increased interventions via this route, and generally developed secondarily due to rent through the artery’s wall with persistent flow or inadequate compression of the artery. It is contained by the false layer of nearby tissue layers and haematoma [2]. In the Radial artery both types of aneurysms may present as asymptomatic or expanding, pulsatile swellings. These aneurysms carry the risk of distal thromboembolisation, leading to distal ischemic changes, and may present as painful swelling or cold hand with thumb and fingers ischemia. Management modality is dependent on clinical history, aetiology, size, wall defect, and amount of hematoma. Usually, this can be dealt safely if timely diagnosis and intervention occur. Hereby, I am presenting two successfully managed Radial artery aneurysm cases at our institute with further literature review. Proactive Disclosure: Both these are separately published by me in open access journals earlier, and under the terms of the Creative Commons Attribution Non Commercial Share-A 4.0 License, which allows others to remix, tweak, and build upon the work non commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms

Keywords :Radial artery aneurysm, true aneurysm, pseudoaneurysm, thromboembolism, diagnosis

Conference Name :International Conference on Cardiovascular Medicine, Clinical Cardiology and Cardiac Surgery (ICCMCCCS-25)

Conference Place Bangkok, Thailand

Conference Date 7th May 2025