Pseudoaneurysm of radial artery after coronary angiography

Roberto Cunha; Manuel Silva; Alberto Henrique; Pedro Maximiano; Mafalda Correia; Isabel Vieira; Isabel Cássio; Nelson Oliveira; Emanuel Dias

doi:10.1093/jscr/rjad446

Pseudoaneurysm of radial artery after coronary angiography

J Surg Case Rep. 2023 Aug 8;2023(8):rjad446. doi: 10.1093/jscr/rjad446. eCollection 2023 Aug.

Authors

Roberto Cunha¹, Manuel Silva¹, Alberto Henrique¹, Pedro Maximiano¹, Mafalda Correia¹, Isabel Vieira¹, Isabel Cássio¹, Nelson Oliveira¹, Emanuel Dias¹

Affiliation

¹ Angiology and Vascular Surgery Department, Hospital do Divino Espírito Santo (HDES), Ponta Delgada, Azores, Portugal.

Abstract

Iatrogenic pseudoaneurysms (IPA) are a rare complication of transradial coronary intervention. This brief report aims to present a case report of a radial artery pseudoaneurysm and to review the current management of this entity. Because of the increased performance of transradial coronary intervention, IPA have become more common. Doppler ultrasonography is a fundamental tool to aid the differential diagnosis with other pathologies. There is no consensus on the treatment, which may range from conservative management to surgical repair. Close surveillance after the procedure and early diagnosis are essential to avoid serious complications, such as ischemia of the hand. The management of IPA depends upon morphological characteristics and associated symptoms.

Keywords: Iatrogenic pseudoaneurysm; coronary angiography; transradial approach.

Publication types

Case Reports