Diagnosis and treatment of brachial artery pseudoaneurysm in hemodialysis patients

Objective To summarize the treatments and experiences of brachial artery pseudoaneurysm in hemodialysis patients.Methods From July 2014 to July 2021, clinical data were retrospectively reviewed for 19 hemodialysis patients with brachial artery pseudoaneurysm.Results Among them, 14 cases were identified as related to dialysis puncture.One case was treated conservatively, 12 cases received interventional stent implantation, 4 cases underwent hybrid surgery and 2 cases received ultrasound-guided local thrombin injection.Follow-up period was(1-49) months.One patient died within 1 month after surgery, and the cause was unknown.Brachial artery was continuously unobstructed in other cases.Conclusion Brachial artery pseudoaneurysm in hemodialysis patients should be detected and treated as soon as possible.Different surgical options may be selected according to size of rupture, tumor characteristics and complications.Arresting hemorrhage as soon as possible, preserving arterial continuity and avoiding serious complications are essentials.