scholarly journals Radial pseudoaneurysm in elderly: a rare event with undefinied therapeutical approach. A case report and literature review

2019 ◽  
Vol 89 (3) ◽  
Author(s):  
Emanuele Gallinoro ◽  
Francesco Natale ◽  
Saverio D’Elia ◽  
Paolo Golino ◽  
Giovanni Cimmino
Keyword(s):  
Elderly Patients ◽  
Radial Artery ◽  
Cardiac Catheterization ◽  
Doppler Ultrasonography ◽  
Rare Complication ◽  
Treatment Options ◽  
Clinical Manifestations ◽  
Rare Event ◽  
Unique Case ◽  
Artery Pseudoaneurysm

Radial artery pseudoaneurysm (RAP) after cardiac catheterization in elderly patients is a rare complication. Clinical manifestations are pain, swelling and haematoma of the harm. The diagnosis is made through doppler ultrasonography, but the best therapeutical option is still matter of debate. Traditionally, surgical treatment has been considered the gold standard but new and less invasive strategies have been recently proposed: ultrasound-guided compression and local injection of thrombin. In this report we describe the unique case of an 84-year-old female patient who developed radial artery pseudoaneurysm after a failed radial artery access for cardiac catheterization. Finally, the pseudoaneurysm was successfully treated by surgical approach as several attempts of local compression failed. We aimed also at reviewing the treatment options of RAP in elderly patients (>75 years old) and the safety/effectiveness reported in literature.

A Very Rare Complication of Trans-Radial Cardiac Catheterization: Radial Artery Pseudoaneurysm: Case Report

2015 ◽  
Vol 24 (1) ◽  
pp. 70-71
Author(s):  
Ertekin Utku ÜNAL ◽  
Aytaç ÇALIŞKAN ◽  
Başak SORAN TÜRKCAN ◽  
Anıl ÖZEN ◽  
Sinan Sabit KOCABEYOĞLU ◽  
...  
Keyword(s):  
Case Report ◽  
Radial Artery ◽  
Cardiac Catheterization ◽  
Rare Complication ◽  
Artery Pseudoaneurysm

Radial Artery Pseudoaneurysm Following Cardiac Catheterization: Clinical Features and Nonsurgical Treatment Results

2015 ◽  
Vol 68 (4) ◽  
pp. 349-351 ◽  
Author(s):  
Isabel Zegrí ◽  
Arturo García-Touchard ◽  
Sofía Cuenca ◽  
Juan Francisco Oteo ◽  
José Antonio Fernández-Díaz ◽  
...  
Keyword(s):  
Clinical Features ◽  
Radial Artery ◽  
Cardiac Catheterization ◽  
Nonsurgical Treatment ◽  
Treatment Results ◽  
Artery Pseudoaneurysm

Radial artery pseudoaneurysm as an extremely rare complication associated with transradial catheterisation

2013 ◽  
pp. 542-542 ◽  
Author(s):  
Elżbieta Suchoń ◽  
Jacek Jąkała ◽  
Dominika Dykla ◽  
Rafał Depukat ◽  
Marek Krochin ◽  
...  
Keyword(s):  
Radial Artery ◽  
Rare Complication ◽  
Artery Pseudoaneurysm

Pseudoaneurysm a rare complication of transradial cardiac catheterization: a case report

Vascular ◽  
2013 ◽  
Vol 21 (5) ◽  
pp. 331-334 ◽  
Author(s):  
Tariq Bhat ◽  
Hilal Bhat ◽  
Sumaya Teli ◽  
Bartaula Rajiv ◽  
Muhammad Akhtar ◽  
...  
Keyword(s):  
Radial Artery ◽  
Cardiac Catheterization ◽  
Rare Complication ◽  
Arterial Occlusion ◽  
Surgical Excision ◽  
Artery Occlusion ◽  
Transfemoral Approach ◽  
Radial Artery Occlusion ◽  
Viable Approach

Transradial access for cardiac catheterization is a safe and viable approach with significantly lower incidence of major access-related complications compared with the transfemoral approach. As this form of access is getting wider acceptance among interventional cardiologists, awareness of its complications is of vital importance. Asymptomatic radial artery occlusion, non-occlusive radial artery injury and radial artery spasm are commonly reported complication of this approach. Symptomatic radial arterial occlusion, pseudoaneurysm and radial artery perforation are rarely reported complications of transradial approach. Early identification of these uncommon complications and their urgent management is of significant importance. We present the case of an 80-year-old lady who developed pseudoaneurysm a week after transradial cardiac catheterization managed with surgical excision with no long-term sequela.

scholarly journals Radial pseudoaneurysm following diagnostic coronary angiography

2015 ◽  
Vol 10 (3) ◽  
pp. 48-50
Author(s):  
Shankar Laudari ◽  
Sachin Dhungel ◽  
Laxman Dubey ◽  
Guru Prasad ◽  
R Bhattacharya ◽  
...  
Keyword(s):  
Coronary Angiography ◽  
Radial Artery ◽  
Femoral Artery ◽  
Rare Complication ◽  
Vascular Complications ◽  
Medical Sciences ◽  
Artery Pseudoaneurysm ◽  
Early Ambulation ◽  
Coronary Catheterization ◽  
Diagnostic Coronary Angiography

The radial artery access has gained popularity as a method of diagnostic coronary catheterization compared to femoral artery puncture in terms of vascular complications and early ambulation. However, very rare complication like radial artery pseudoaneurysm may occur following cardiac catheterization which may give rise to serious consequences. Here, we report a patient with radial pseudoaneurysm following diagnostic coronary angiography. Adequate and correct methodology of compression of radial artery following puncture for maintaining hemostasis is the key to prevention.DOI: http://dx.doi.org/10.3126/jcmsn.v10i3.12776 Journal of College of Medical Sciences-Nepal, 2014, Vol-10, No-3, 48-50

scholarly journals Rare complication of primary percutaneous coronary intervention - perforation of the axillary artery

2019 ◽  
Vol 147 (9-10) ◽  
pp. 615-618
Author(s):  
Dragana Dabovic ◽  
Vladimir Ivanovic ◽  
Anastazija Stojsic-Milosavljevic ◽  
Milovan Petrovic ◽  
Igor Ivanov
Keyword(s):  
Percutaneous Coronary Intervention ◽  
Radial Artery ◽  
Primary Percutaneous Coronary Intervention ◽  
Axillary Artery ◽  
Rare Complication ◽  
Coronary Intervention ◽  
Proximal Segment ◽  
Artery Pseudoaneurysm ◽  
Transradial Approach ◽  
Percutaneous Coronary

Introduction. Several arteries can be used as the approach for coronarography or primary percutaneous coronary intervention (pPCI). In patients with acute ST-elevation myocardial infarction (STEMI), when performing pPCI according to the current recommendations, approach artery should be the radial artery. Complications of the transradial approach, such as spasm, asymptomatic occlusion, perforation, nerve damage, arteriovenous fistula, compartment syndrome, and radial artery pseudoaneurysm are described. However, only a few cases describe rare complications of transradial approach such as the perforation of the axillary artery. Case outline. The patient was admitted due to the STEMI. Urgent coronarography found 90% stenosis of the proximal segment of the left anterior descendent branch of the left coronary artery (LAD). During the pPCI, a metal stent was implanted in the proximal segment of the LAD. One hour after the intervention, a hematoma in the right arm was registered with the hemodynamic collapse. Angiography of the left axillary artery showed an extravasation of the contrast. A graft stent was implanted in the area of extravasation. After the intervention, regression of the hematoma was registered. Ten years after the primary intervention, CT coronarography and angiography were performed. The stent in the LAD, as well as in the axillary artery, was without any stenosis. Conclusion. Advanced life expectancy, hypertension, atherosclerosis, anatomical variations, and blood vessel tortuosity contribute to the perforation of the axillary artery, a very rare complication of the radial approach. It is usually treated conservatively. In the case of hemodynamic instability, a stent implantation can be considered, as it was in our case.

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