Transradiyal Koroner Anjiyografi Sonrası Nadir Bir Komplikasyon Olarak Radiyal Arter Psödoanevrizması
Abstract
Transradiyal koroner anjiyografi (KAG), transfemoral KAG’ye kıyasla daha az girişim yeri
komplikasyonu, daha kısa hospitalizasyon, daha iyi hasta konforu ve erken mobilizasyon ile
ilişkilendirilmektedir. Bununla birlikte, KAG’de radiyal girişim kullanımı giriş yeri komplikasyonlarına
da neden olabilir. Transradiyal KAG sonrası radiyal arter psödoanevrizması, işlemlerin
%0,1’inden azında bildirilen nadir bir komplikasyondur. Bu raporda transradiyal KAG sonrası
Doppler ultrasonografisi ile sağ radiyal arter psödoanevrizması tanısı konan ve cerrahi dışı
yollarla tedavi edilen 78 yaşında bir hasta sunulmuştur.
Keywords
radiyal arter psödoanevrizması radiyal arter ultrasonografisi transradiyal koroner anjiyografi
References
- Jolly SS, Yusuf S, Cairns J, Niemelä K, Xavier D, Widimsky P, et al. Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial. Lancet. 2011;377(9775):1409–20.
- Bernat I, Horak D, Stasek J, Mates M, Pesek J, Ostadal P, et al. ST elevation myocardial infarction treated by radial or femoral approach in a multicenter randomized clini¬cal trial: the STEMI-RADIAL trial. J Am Coll Cardiol. 2014;63(10):964–72.
- Rao SV, Cohen MG, Kandzari DE, Bertrand OF, Gilchrist IC. The transradial approach to percutaneous coronary intervention: historical perspective, current concepts, and future directions. J Am Coll Cardiol. 2010;55(20):2187–95.
- Kanei Y, Kwan T, Nakra NC, Liou M, Huang Y, Vales LL, et al. Transradial cardiac catheterization: a review of access site complications. Catheter Cardiovasc Interv. 2011;78(6):840– 6.
- Walton NP, Choudhary F. Idiopathic radial artery an¬eurysm in the anatomical snuff box. Acta Orthop Belg. 2002;68(3):292–4.
- Avtandil MB, Samir BP, Dmitriy SK. New technique for treatment of postcatheterization radial artery pseudoaneu¬rysm. Catheter Cardiovasc Interv. 2017;89(3):393–8.
- Collins N, Wainstein R, Ward M, Bhagwandeen R, Dzavik V. Pseudoaneurysm after transradial cardiac catheteriza¬tion: case series and review of the literature. Catheter Car¬diovasc Interv. 2012;80(2):283–7.
- Lefevre T, Morice MC, Bonan R, Dumas P, Louvard Y, Kar¬rillon G, et al. Coronary angiography using 4 or 6 French diagnostic catheters: a prospective, randomized study. J In¬vasive Cardiol. 2001;13(10):674–7.
- D’Achille A, Sebben RA, Davies RP. Percutaneous ul¬trasound-guided thrombin injection for coagulation of post-traumatic pseudoaneurysms. Australas Radiol. 2001;45(2):218–21.
- Ganchi PA, Wilhelmi BJ, Fujita K, Lee WP. Ruptured pseu¬doaneurysm complicating an infected radial artery cath¬eter: case report and review of the literature. Ann Plast Surg. 2001;46(6):647–50.
- Toursarkissian B, Allen BT, Petrinec D, Thompson RW, Ru¬bin BG, Reilly JM, et al. Spontaneous closure of selected iat-rogenic pseudoaneurysms and arteriovenous fistulae. J Vasc Surg. 1997;25(5):803–9.
- Khoury M, Rebecca A, Greene K, Rama K, Colaiuta E, Fly¬nn L, et al. Duplex scanning-guided thrombin injection for the treatment of iatrogenic pseudoaneurysms. J Vasc Surg. 2002;35(3):517–21.
- Pope M, Johnston KW. Anaphylaxis after thrombin injection of a femoral pseudoaneurysm: recommendations for pre-vention. J Vasc Surg. 2000;32(1):190–1.
- Zegrí I, García-Touchard A, Cuenca S, Oteo JF, Fernández- Díaz JA, Goicolea J. Radial artery pseudoaneurysm follow-ing cardiac catheterization: clinical features and nonsurgical treatment results. Rev Esp Cardiol. 2015;68(4):349–51.
Abstract
Compared to transfemoral coronary angiography (CAG), transradial CAG has been associ¬ated with less access site complications, shorter hospitalization, better patient comfort, and early mobilization. However, the use of radial access in CAG may also cause entry site compli¬cations. Radial pseudoaneurysm after transradial CAG is a rare complication reported in less than 0.1% of the procedures. In this report, we present a 78-year-old patient who was diag¬nosed with right radial artery pseudoaneurysm by Doppler ultrasonography after transradial CAG and treated nonsurgically
Keywords
radial artery pseudoaneurysm radial artery ultrasonography Transradial coronary angiography
References
- Jolly SS, Yusuf S, Cairns J, Niemelä K, Xavier D, Widimsky P, et al. Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial. Lancet. 2011;377(9775):1409–20.
- Bernat I, Horak D, Stasek J, Mates M, Pesek J, Ostadal P, et al. ST elevation myocardial infarction treated by radial or femoral approach in a multicenter randomized clini¬cal trial: the STEMI-RADIAL trial. J Am Coll Cardiol. 2014;63(10):964–72.
- Rao SV, Cohen MG, Kandzari DE, Bertrand OF, Gilchrist IC. The transradial approach to percutaneous coronary intervention: historical perspective, current concepts, and future directions. J Am Coll Cardiol. 2010;55(20):2187–95.
- Kanei Y, Kwan T, Nakra NC, Liou M, Huang Y, Vales LL, et al. Transradial cardiac catheterization: a review of access site complications. Catheter Cardiovasc Interv. 2011;78(6):840– 6.
- Walton NP, Choudhary F. Idiopathic radial artery an¬eurysm in the anatomical snuff box. Acta Orthop Belg. 2002;68(3):292–4.
- Avtandil MB, Samir BP, Dmitriy SK. New technique for treatment of postcatheterization radial artery pseudoaneu¬rysm. Catheter Cardiovasc Interv. 2017;89(3):393–8.
- Collins N, Wainstein R, Ward M, Bhagwandeen R, Dzavik V. Pseudoaneurysm after transradial cardiac catheteriza¬tion: case series and review of the literature. Catheter Car¬diovasc Interv. 2012;80(2):283–7.
- Lefevre T, Morice MC, Bonan R, Dumas P, Louvard Y, Kar¬rillon G, et al. Coronary angiography using 4 or 6 French diagnostic catheters: a prospective, randomized study. J In¬vasive Cardiol. 2001;13(10):674–7.
- D’Achille A, Sebben RA, Davies RP. Percutaneous ul¬trasound-guided thrombin injection for coagulation of post-traumatic pseudoaneurysms. Australas Radiol. 2001;45(2):218–21.
- Ganchi PA, Wilhelmi BJ, Fujita K, Lee WP. Ruptured pseu¬doaneurysm complicating an infected radial artery cath¬eter: case report and review of the literature. Ann Plast Surg. 2001;46(6):647–50.
- Toursarkissian B, Allen BT, Petrinec D, Thompson RW, Ru¬bin BG, Reilly JM, et al. Spontaneous closure of selected iat-rogenic pseudoaneurysms and arteriovenous fistulae. J Vasc Surg. 1997;25(5):803–9.
- Khoury M, Rebecca A, Greene K, Rama K, Colaiuta E, Fly¬nn L, et al. Duplex scanning-guided thrombin injection for the treatment of iatrogenic pseudoaneurysms. J Vasc Surg. 2002;35(3):517–21.
- Pope M, Johnston KW. Anaphylaxis after thrombin injection of a femoral pseudoaneurysm: recommendations for pre-vention. J Vasc Surg. 2000;32(1):190–1.
- Zegrí I, García-Touchard A, Cuenca S, Oteo JF, Fernández- Díaz JA, Goicolea J. Radial artery pseudoaneurysm follow-ing cardiac catheterization: clinical features and nonsurgical treatment results. Rev Esp Cardiol. 2015;68(4):349–51.
Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | CASE REPORT |
| Authors | |
| Publication Date | May 29, 2021 |
| Acceptance Date | June 2, 2020 |
| Published in Issue | Year 2021 Volume: 26 Issue: 2 |
This Journal licensed under a CC BY-NC (Creative Commons Attribution-NonCommercial 4.0) International License.