New technique for treatment of postcatheterization radial artery pseudoaneurysm

Catheter Cardiovasc Interv. 2017 Feb 15;89(3):393-398. doi: 10.1002/ccd.26717. Epub 2016 Aug 16.

Abstract

We report a new technique for treatment of radial artery pseudoaneurysm (RAP) caused by transradial access (TRA) for coronary angiography. Traditional extrinsic compression with radial flow cessation leads to a local milieu likely associated with an increase in probability of radial artery occlusion (RAO). Our technique involves obtaining ipsilateral radial artery access distal to the neck of the RAP followed by a prolonged sheath dwell time covering the neck of the RAP which allows the RAP sac to thrombose and maintains radial artery lumen patency. © 2016 The Authors. Catheterization and Cardiovascular Interventions Published by Wiley Periodicals, Inc.

Keywords: radial artery pseudoaneurysm; transradial coronary intervention.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aneurysm, False / diagnostic imaging
  • Aneurysm, False / etiology
  • Aneurysm, False / physiopathology
  • Aneurysm, False / therapy*
  • Cardiac Catheterization* / methods
  • Catheterization, Peripheral / adverse effects*
  • Catheterization, Peripheral / methods
  • Coronary Angiography* / methods
  • Coronary Stenosis / diagnostic imaging*
  • Coronary Stenosis / therapy
  • Endovascular Procedures*
  • Humans
  • Male
  • Percutaneous Coronary Intervention
  • Punctures
  • Radial Artery / diagnostic imaging
  • Radial Artery / injuries*
  • Radial Artery / physiopathology
  • Treatment Outcome
  • Ultrasonography, Doppler, Duplex
  • Vascular Patency
  • Vascular System Injuries / diagnostic imaging
  • Vascular System Injuries / etiology
  • Vascular System Injuries / physiopathology
  • Vascular System Injuries / therapy*