Volume 49, Issue 1 March 2025 JVU 491-10 | Upper Extremity Arterial Aneurysms: Correlation of Clinical, Ultrasound and Operative Findings-Volume 49, Issue 1 March 2025 JVU 491-10 | Upper Extremity Arterial Aneurysms: Correlation of Clinical, Ultrasound and Operative Findings

Volume 49, Issue 1 March 2025 JVU 491-10 | Upper Extremity Arterial Aneurysms: Correlation of Clinical, Ultrasound and Operative Findings

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The article "Upper Extremity Arterial Aneurysms: Correlation of Clinical, Ultrasound, and Operative Findings" published in the Journal for Vascular Ultrasound explores the diagnosis, treatment, and surveillance of upper extremity arterial aneurysms. It highlights the importance of ultrasound, specifically color duplex ultrasound, as a definitive imaging modality to identify, measure, and demonstrate the anatomical relationship of such aneurysms to adjacent structures.<br /><br />The study involved a retrospective review of archived patient files to identify cases with upper extremity arterial aneurysms. Seven patient cases were analyzed, covering a range of aneurysm types, including atherosclerotic, traumatic, and infectious. These aneurysms presented in various upper extremity arteries such as the brachial, radial, and ulnar arteries.<br /><br />Key findings show that proper ultrasound protocols are critical for accurate diagnosis and planning of interventions. The article provides detailed insights into each patient's preoperative and postoperative conditions, emphasizing the role of color duplex ultrasound in defining the aneurysms and guiding surgical decisions. It also discusses methods for optimizing ultrasound findings for intervention planning and describes surveillance strategies to confirm the durability of treatments.<br /><br />The study concludes that upper extremity aneurysms, though rare, require deliberate imaging techniques to ensure accurate diagnosis and effective management. It acknowledges that although endovascular treatments are evolving, open surgical repair remains the primary intervention for symptomatic or complicated aneurysms. The article underscores the need for structured post-intervention surveillance to monitor for potential complications and ensure successful long-term patient outcomes.

Keywords

upper extremity arterial aneurysms

ultrasound imaging

color duplex ultrasound

aneurysm diagnosis

surgical intervention

endovascular treatment

brachial artery aneurysm

radial artery aneurysm

ulnar artery aneurysm

postoperative surveillance