Purpose: Pseudoaneurysms are a well known complication of femoral arterial access. With growing use of radial arterial access for interventional procedures, radial artery pseudoaneuryms are now seen with increased frequency. Treatment choices and algorithms are still lacking for the management of radial artery pseudoaneurysms.
Material and Methods: Iatrogenic and spontaneous radial artery pseudoaneurysm cases will be presented, with a focus on management options, such as: expectant, pneumatic compression, ultrasound-guided compression, ultrasound-guided thrombin injection, endovascular or surgical repair.
Results: When compared to femoral pseudoaneurysms, a higher failure rate is seen when external compression and thrombin injection are used. A low threshold should be present for open surgical repair by expert hand surgeons attentive to nerve preservation techniques.
Conclusions: Management of radial artery pseudoaneurysms is complex and may need a multidisciplinary approach.