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Erschienen in: Herz 4/2015

01.06.2015 | Case study

Pseudoaneurysm of the radial artery following coronary angiography

verfasst von: Dr. C.B. Samaranayake, T.J. Timothy, J.T. Stewart, M.E. Legget

Erschienen in: Herz | Ausgabe 4/2015

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Excerpt

An 85-year-old female patient was admitted to hospital with a non-ST-elevation myocardial infarction. After initial medical management with clopidogrel, aspirin, and enoxaparin, the patient underwent coronary angiography through the right radial artery using the standard Seldinger puncture technique and insertion of a 6-Fr Terumo Radifocus II (Terumo Medical, Japan) sheath. Unfractionated heparin 5,000 IU was administered via the sheath immediately after radial access. Percutaneous coronary intervention (PCI) of the left anterior descending artery was undertaken, with deployment of a bare-metal stent. The sheath was removed at the end of the procedure and a radial compressive device (TR band; Terumo Interventional Systems, Somerset, NJ) was applied over the arterial puncture site to achieve nonocclusive hemostasis. No complications occurred during, or immediately after, the procedure. …
Literatur
1.
Zurück zum Zitat Kanei Y, Nakra NC, Liou M et al (2011) Randomized comparison of transradial coronary angiography via right or left radial artery approaches. Am J Cardiol 107:195–197PubMedCrossRef Kanei Y, Nakra NC, Liou M et al (2011) Randomized comparison of transradial coronary angiography via right or left radial artery approaches. Am J Cardiol 107:195–197PubMedCrossRef
2.
Zurück zum Zitat Mitchell MD, Hong JA, Lee BY et al (2012) Systematic review and cost-benefit analysis of radial artery access for coronary angiography and intervention. Circ Cardiovasc Qual Outcomes 5:454–462PubMedCentralPubMedCrossRef Mitchell MD, Hong JA, Lee BY et al (2012) Systematic review and cost-benefit analysis of radial artery access for coronary angiography and intervention. Circ Cardiovasc Qual Outcomes 5:454–462PubMedCentralPubMedCrossRef
3.
Zurück zum Zitat Jolly SS, Yusuf S, Cairns J et al (2011) Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial. Lancet 377:1409–1420PubMedCrossRef Jolly SS, Yusuf S, Cairns J et al (2011) Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial. Lancet 377:1409–1420PubMedCrossRef
4.
Zurück zum Zitat Achenbach S, Ropers D, Kallert L et al (2008) Transradial versus transfemoral approach for coronary angiography and intervention in patients above 75 years of age. Catheter Cardiovasc Interv 72:629–635PubMedCrossRef Achenbach S, Ropers D, Kallert L et al (2008) Transradial versus transfemoral approach for coronary angiography and intervention in patients above 75 years of age. Catheter Cardiovasc Interv 72:629–635PubMedCrossRef
5.
Zurück zum Zitat Louvard Y, Benamer H, Garot P et al (2004) Comparison of transradial and transfemoral approaches for coronary angiography and angioplasty in octogenarians (the OCTOPLUS study). Am J Cardiol 94:1177–1180PubMedCrossRef Louvard Y, Benamer H, Garot P et al (2004) Comparison of transradial and transfemoral approaches for coronary angiography and angioplasty in octogenarians (the OCTOPLUS study). Am J Cardiol 94:1177–1180PubMedCrossRef
6.
Zurück zum Zitat Popovic B, Freysz L, Chometon F et al (2010) Femoral pseudoaneurysms and current cardiac catheterization: evaluation of risk factors and treatment. Int J Cardiol 141:75–80PubMedCrossRef Popovic B, Freysz L, Chometon F et al (2010) Femoral pseudoaneurysms and current cardiac catheterization: evaluation of risk factors and treatment. Int J Cardiol 141:75–80PubMedCrossRef
7.
Zurück zum Zitat Inan MB, Acikgoz B, Yazicioglu L et al (2011) A rare complication of radial artery catheterization. Vascular 19:167–169PubMedCrossRef Inan MB, Acikgoz B, Yazicioglu L et al (2011) A rare complication of radial artery catheterization. Vascular 19:167–169PubMedCrossRef
8.
Zurück zum Zitat Eichhofer J, Horlick E, Ivanov J et al (2008) Decreased complication rates using the transradial compared to the transfemoral approach in percutaneous coronary intervention in the era of routine stenting and glycoprotein platelet IIb/IIIa inhibitor use: a large single-center experience. Am Heart J 156:864–870PubMedCrossRef Eichhofer J, Horlick E, Ivanov J et al (2008) Decreased complication rates using the transradial compared to the transfemoral approach in percutaneous coronary intervention in the era of routine stenting and glycoprotein platelet IIb/IIIa inhibitor use: a large single-center experience. Am Heart J 156:864–870PubMedCrossRef
9.
Zurück zum Zitat Williams PD, Eccleshall S (2009) Delayed presentation of radial artery pseudoaneurysm secondary to catheter trauma during percutaneous coronary intervention. Heart 95:1084PubMedCrossRef Williams PD, Eccleshall S (2009) Delayed presentation of radial artery pseudoaneurysm secondary to catheter trauma during percutaneous coronary intervention. Heart 95:1084PubMedCrossRef
10.
Zurück zum Zitat Fagih B, Beaudry Y (2000) Pseudoaneurysm: a late complication of the transradial approach after coronary angiography. J Invasive Cardiol 12:216–217PubMed Fagih B, Beaudry Y (2000) Pseudoaneurysm: a late complication of the transradial approach after coronary angiography. J Invasive Cardiol 12:216–217PubMed
11.
Zurück zum Zitat Collins N, Wainstein R, Ward M et al (2012) Pseudoaneurysm after transradial cardiac catheterization: case series and review of the literature. Catheter Cardiovasc Interv 80:283–287PubMedCrossRef Collins N, Wainstein R, Ward M et al (2012) Pseudoaneurysm after transradial cardiac catheterization: case series and review of the literature. Catheter Cardiovasc Interv 80:283–287PubMedCrossRef
12.
Zurück zum Zitat Pancholy S, Coppola J, Patel T et al (2008) Prevention of radial artery occlusion-patent hemostasis evaluation trial (PROPHET study): a randomized comparison of traditional versus patency documented hemostasis after transradial catheterization. Catheter Cardiovasc Interv 72:335–340PubMedCrossRef Pancholy S, Coppola J, Patel T et al (2008) Prevention of radial artery occlusion-patent hemostasis evaluation trial (PROPHET study): a randomized comparison of traditional versus patency documented hemostasis after transradial catheterization. Catheter Cardiovasc Interv 72:335–340PubMedCrossRef
13.
Zurück zum Zitat Cubero JM, Lombardo J, Pedrosa C et al (2009) Radial compression guided by mean artery pressure versus standard compression with a pneumatic device (RACOMAP). Catheter Cardiovasc Interv 73:467–472PubMedCrossRef Cubero JM, Lombardo J, Pedrosa C et al (2009) Radial compression guided by mean artery pressure versus standard compression with a pneumatic device (RACOMAP). Catheter Cardiovasc Interv 73:467–472PubMedCrossRef
14.
Zurück zum Zitat Pancholy SB, Patel TM, Pancholy SB, Patel TM (2012) Effect of duration of hemostatic compression on radial artery occlusion after transradial access. Catheter Cardiovasc Interv 79:78–81PubMedCrossRef Pancholy SB, Patel TM, Pancholy SB, Patel TM (2012) Effect of duration of hemostatic compression on radial artery occlusion after transradial access. Catheter Cardiovasc Interv 79:78–81PubMedCrossRef
15.
Zurück zum Zitat Liou M, Tung F, Kanei Y et al (2010) Treatment of radial artery pseudoaneurysm using a novel compression device. J Invasive Cardiol 22:293–295PubMed Liou M, Tung F, Kanei Y et al (2010) Treatment of radial artery pseudoaneurysm using a novel compression device. J Invasive Cardiol 22:293–295PubMed
16.
Zurück zum Zitat Tsao JW, Neymark E, Gooding GA (2000) Radial artery mycotic pseudoaneurysm: an unusual complication of catheterization. J Clin Ultrasound 28:414–416PubMedCrossRef Tsao JW, Neymark E, Gooding GA (2000) Radial artery mycotic pseudoaneurysm: an unusual complication of catheterization. J Clin Ultrasound 28:414–416PubMedCrossRef
17.
Zurück zum Zitat D’Achille A, Sebben RA, Davies RP (2001) Percutaneous ultrasound-guided thrombin injection for coagulation of post-traumatic pseudoaneurysms. Australas Radiol 45:218–221CrossRef D’Achille A, Sebben RA, Davies RP (2001) Percutaneous ultrasound-guided thrombin injection for coagulation of post-traumatic pseudoaneurysms. Australas Radiol 45:218–221CrossRef
18.
Zurück zum Zitat Komorowska-Timek E, Teruya TH, Abou-Zamzam AM Jr et al (2004) Treatment of radial and ulnar artery pseudoaneurysms using percutaneous thrombin injection. J Hand Surg 29:936–942CrossRef Komorowska-Timek E, Teruya TH, Abou-Zamzam AM Jr et al (2004) Treatment of radial and ulnar artery pseudoaneurysms using percutaneous thrombin injection. J Hand Surg 29:936–942CrossRef
Metadaten
Titel
Pseudoaneurysm of the radial artery following coronary angiography
verfasst von
Dr. C.B. Samaranayake
T.J. Timothy
J.T. Stewart
M.E. Legget
Publikationsdatum
01.06.2015
Verlag
Urban & Vogel
Erschienen in
Herz / Ausgabe 4/2015
Print ISSN: 0340-9937
Elektronische ISSN: 1615-6692
DOI
https://doi.org/10.1007/s00059-013-3960-6

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