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Abstracts from the 13th WINFOCUS World Congress on Ultrasound in Emergency & Critical Care

2017; Springer Nature; Volume: 9; Issue: S1 Linguagem: Inglês

10.1186/s13089-017-0082-z

2036-7902

Stephen Alerhand, Adam E. Nevel, Bret P. Nelson, Michael Halperin, Felipe T. Serrano, Gregor Prosen, Tjaša Banović, Stephanie J. Doniger, Mirjana Brvar, Barbara Furman, Paloma Gallego Rodríguez, Tomás Villén Villegas, Antonella Vicente, Lynn Muñoz, Carlos Antonio Guillén Astete, N. Díaz García, N. García Montes, Jimena Areco, Daniel Terra, Fiorella Cavalleri, Siul Salisbury, Ana Rodríguez, Mohd Hashairi Fauzi, Zulaili Asri, Norainal Atiqah Mohamed, Mohmad Aswad Mohmad Amin, Adeline Marie Gnanasegaran Xavier, Mohd Anas Mohd Nor, Khairul Izwan M. Hashim, Shaik Farid Abdull Wahab, Mohd Boniami Yazid, Mohammad Zikri Ahmad, Ahmad Rasdan Ismail, Rohayu Othman, Mauro Constantini, Julio Pontet, Igor Sviridenko, Pablo Rodríguez, Christian Daniel Yic, Diego Méndez, Sylvia Noveri, Ana Soca, Mario Cancela, Pablo Rodriguez Luna, Rodrigo Martella, Silvina Fabretto, Erich A. Lidstone, Jacob Shapiro, Kristine Robinson, Cecilia Gómez Ravetti, Thiago Bragança Lana Silveira Ataíde, Lídia Miranda Barreto Mourão, Nathália Costa Almeida Pinho, Lucas Vieira Chagas, Renan Detoffol Bragança, Vandack Nobre, Maria Thereza Meira Araujo, Luiz Ernani Meira, Luciana Corts Mendes, Jackson Andrade, Nayara Nobre Basso, Anna Cecília Castro e Abreu, José Muniz Pazeli, Ana Luísa Vieira, Bernardo Lemos, Marinna Marques Rodrigues Saliba, Maurício Dutra Costa, Pedro Andrade Mello, Rosimary Souza Vicentino, J.P. Suárez Fernández, Nicolás Ahualli, Humberto R Insfran, Ivana Fatica, Jonatan Bornia, Paula Denardi, Rubén D Algieri, Cristian Flores, María Soledad Ferrante, Gustavo Vassia, Carolina Brofman, Víctor Ortiz‐García de la Foz, Elizabeth Krebs, Frances S. Shofer, Cameron Baston, Christy Moore, Wilma Chan, Anthony J. Dean, Nova L. Panebianco, Stefano Geniere Nigra, Carmela Graci, Vito Sgromo, Alberto Casazza, Giacomo Veronese, Miguel Montórfano, Giovanni Ricevuti, Marina Marazzi, María Fernanda Barbui, Gabriela Da Campo, Cecilia Ciarlo, Leonardo Vera, Matías Brizuela, Mariana Lía Brizuela, Marcos Aqcuavita, Javier Buchanan, José Alejandro Bujedo, Pablo Figueroa, V. Ricardo Carvajal, P. Oscar Bravo, N. Monserrat Navarro, J. Rodrigo Adasme, Carolina Méndez Benavente, Osman Adi, Azma Haryaty Ahmad, Seri Rohayu Neow Hanzah, Emilia Mohtar Razali,

Ultrasound in Clinical Applications

Background: Though an extremely rare complication of arterial cannulation, the incidence of radial pseudoaneurysm may increase with the growing use of extended radial artery access for coronary angiography.Case report: A 57 year-old female presented to the emergency department with painful swelling to the volar radial surface of her right wrist 5 days after a non-emergent transradial coronary angiography.An emergency physician used point-of-care ultrasound to diagnose a radial artery pseudoaneurysm.The high-frequency linear transducer allowed visualization of the arterial wall defect and connection between artery and hematoma on B-mode, turbulent pulsatile flow into the adjacent hematoma using color flow Doppler, and a to-and-fro waveform at the wall defect using spectral Doppler.Due to the size and characteristics of the pseudoaneurysm, as well as her pain and mild distal sensory deficits, it was determined that the patient required prompt operative repair.Discussion: Bedside ultrasound is the most rapid and dynamic imaging modality for making diagnosing a radial artery pseudoaneurysm.Different techniques for treating this condition include conservative care, extended compression, thrombin injection, and surgery.Management primarily depends on the size of the pseudoaneurysm and its associated symptoms. Conclusion:In addition to understanding the pathophysiology and risk factors for this condition, the emergency physician must be adept at using point-of-care ultrasound to both make the diagnosis and characterize its findings to determine management.