Penetrating glass injury leading to brachial artery pseudoaneurysm: a rare case with early onset symptoms

Pseudoaneurysms of the brachial artery have been reported in the literature, with aetiologies including iatrogenic causes, trauma and intravenous drug use. Among traumatic causes, blunt trauma is the most common, and the incidence of brachial artery pseudoaneurysms due to penetrating injuries is approximately 0.04%. The presentations are usually late, mainly after months or years, but the presentation within a week is rare. The management includes computed tomography (CT) angiography as the modality for diagnosis and endovascular or surgical approaches-the surgery is either graft or end-to-end repair. However, well-defined protocol-based management, as well as the keen suspicion of such a rare entity, is necessary for trauma or vascular surgeons to prevent further morbidities or mortality.

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Publication Details

Journal
New Zealand Medical Journal
Published
2025-11-04
DOI
https://doi.org/10.26635/6965.7052
Primary Topic
Vascular Procedures and Complications
Type
article
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article

Penetrating glass injury leading to brachial artery pseudoaneurysm: a rare case with early onset symptoms

Tarun Goyal, Divakar Goyal, V.P. Kamboj, Anand Acharya
New Zealand Medical Journal
Vascular Procedures and Complications
article

Penetrating glass injury leading to brachial artery pseudoaneurysm: a rare case with early onset symptoms

Tarun Goyal, Divakar Goyal, V.P. Kamboj, Anand Acharya
article en

Abstract

Pseudoaneurysms of the brachial artery have been reported in the literature, with aetiologies including iatrogenic causes, trauma and intravenous drug use. Among traumatic causes, blunt trauma is the most common, and the incidence of brachial artery pseudoaneurysms due to penetrating injuries is approximately 0.04%. The presentations are usually late, mainly after months or years, but the presentation within a week is rare. The management includes computed tomography (CT) angiography as the modality for diagnosis and endovascular or surgical approaches-the surgery is either graft or end-to-end repair. However, well-defined protocol-based management, as well as the keen suspicion of such a rare entity, is necessary for trauma or vascular surgeons to prevent further morbidities or mortality.

New Zealand Medical JournalVol. 138(1625)
Central University of Punjab (IN), All India Institute of Medical Sciences (IN)
Openalex Percentile: Top 52%
Vascular Procedures and Complications
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