Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.200040
Jornal Vascular Brasileiro
Case Report

Pseudoaneurisma traumático em artéria braquial após retirada de implante contraceptivo subdérmico

Traumatic pseudoaneurysm in brachial artery after removal of a subdermal contraceptive implant

Rafael Borges Monteiro; Patrick Bastos Metzger; Ariadne Bonachela de Moura; Antonio Herculano Silva Filho; Matheus Nogueira Campos; Arthur Suana de Brito; Mirella Prado Luengo; Maria Júlia Andrade Nascimento

Downloads: 0
Views: 28

Resumo

Resumo: Os procedimentos terapêuticos invasivos têm aumentado frequentemente com a evolução da medicina, consequentemente aumentando o número de complicações decorrentes deles. O dispositivo contraceptivo subdérmico (DCS) tem um benefício para a contracepção feminina, mas o implante e a retirada apresentam uma taxa de complicações em torno de 3%. Neste artigo, relatamos e discutimos um caso de pseudoaneurisma traumático da artéria braquial após tentativa de retirada do implante, complicada com a compressão do nervo mediano.

Palavras-chave

lesões do sistema vascular, artéria braquial, anticoncepcionais

Abstract

The frequency of invasive therapeutic procedures has increased as medicine evolves, and the number of complications related to them has increased as a consequence. Subdermal contraceptive implants (SCI) offer benefits for female contraception, but implant and removal are associated with a complication rate of around 3%. In this article, we report and discuss a case of traumatic brachial artery pseudoaneurysm after an attempt to remove an SCI, complicated by compression of the median nerve.

Keywords

vascular injury; brachial artery; contraceptives.

References

1 Lee AHH, Qi SD, Chiang N. Acute upper limb ischemia due to delayed presentation of a brachial artery pseudoaneurysm post venipuncture. Vasc Endovascular Surg. 2020;54(1):80-4. http://dx.doi.org/10.1177/1538574419877620. PMid:31533547.

2 Lobo J, Ferreira MC, Ramos PN. Pseudoaneurysm of brachial artery: a rare cause of median nerve compression. Trauma Case Rep. 2018;14:8-10. http://dx.doi.org/10.1016/j.tcr.2017.12.002. PMid:29644301.

3 Pearson S, Stewart M, Bateson D. Implanon NXT: expert tips for best-practice insertion and removal. Aust Fam Physician. 2017;46(3):104-8. PMid:28260268.

4 Lijftogt N, Cancrinus E, Hoogervorst EL, van de Mortel RH, de Vries JP. Median nerve neuropraxia by a large false brachial artery aneurysm. Vascular. 2014;22(5):378-80. http://dx.doi.org/10.1177/1708538113516321. PMid:24347134.

5 Oña I, Oya A, Villanueva A. Median nerve compression caused by brachial pseudoaneurysm: report of two cases and review of the literature. J Hand Microsurg. 2016;8(2):109-10. http://dx.doi.org/10.1055/s-0036-1585075. PMid:27625541.

6 Pereira MM, Marassi JP, Silva OB, et al. Tratamento alternativo para pseudoaneurisma femoral pós-cateterismo. J Vasc Bras. 2011;10(2):177-80. http://dx.doi.org/10.1590/S1677-54492011000200015.

7 Medeiros CAF, Hatsumura TC, Gusmão DR, Freire LMD, Rocha EF, Guillaumon AT. Tratamento endovascular do trauma arterial dos membros. J Vasc Bras. 2008;7(1):56-61. http://dx.doi.org/10.1590/S1677-54492008000100010.

8 Eleshra A, Kim D, Park HS, Lee T. Access site pseudoaneurysms after endovascular intervention for peripheral arterial diseases. Ann Surg Treat Res. 2019;96(6):305-12. http://dx.doi.org/10.4174/astr.2019.96.6.305. PMid:31183335.
 


Submitted date:
04/18/2020

Accepted date:
07/07/2020

5f6cf22b0e88254c4797b914 jvb Articles

J Vasc Bras

Share this page
Page Sections