A rare case of median nerve intraneural hematoma after stenting of right iliac artery

Aim: Brachial artery access is an alternative approach to endovascular interventions when the femoral, radial, or ulnar arteries not feasible, but it carries higher risk of periprocedural complications than other approaches, including median nerve injury. Nerve injuries can occur by direct puncture compression, with hematoma being most common cause. Sometimes compartment syndrome accompany injury, masking signs a dysfunction. Case report: We present patient false aneurysm brachial artery, surrounding soft tissue volar arm and forearm simultaneous intraneural caused punction. The combination occurred after for treatment bilateral iliac steno-occlusive disease. was successfully treated fasciotomy, arterial sutures, decompression via paraneuriotomy. Conclusions: Intraneural be masked concomitant syndrome. Emphasis should put on prevention, early recognition, timely surgical hematomas, especially those accompanied fascial interventions.