RADIAL ARTERY PSEUDOANEURYSM COMPLICATING A BRESCIA-CIMINO DIALYSIS FISTULA

The authors describe an unusual case of radial artery pseudoaneurysm i n a patient with a Brescia-Cimino fistula. Evaluation of a pulsatile m ass on the patient's forearm which occurred after hemodialysis led to a nondiagnostic fistulogram. Color flow ultrasound was helpful in iden tifying the nature of the abnormality, which was subsequently confirme d arteriographically. This case illustrates that fistulography is not 100% sensitive and should be supplemented with other imaging modalitie s when the clinical and fistulographic findings are discordant.