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Pseudoaneurysm after transradial cardiac catheterization: Case series and review of the literature
Author(s) -
Collins Nicholas,
Wainstein Rodrigo,
Ward Michael,
Bhagwandeen Rohan,
Dzavik Vladimir
Publication year - 2011
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.23216
Subject(s) - medicine , pseudoaneurysm , radial artery , cardiac catheterization , hemostasis , complication , radiology , surgery , artery , occlusion
: Radial artery access for diagnostic and therapeutic procedures offers clear advantages in terms of vascular complications. While radial artery occlusion may occasionally complicate radial artery access, new methods of hemostasis are now utilized to avoid this complication. In contrast, pseudoaneurysm following radial artery access is an extremely uncommon complication. Methods : We describe a series of patients who developed radial artery pseudoaneurysm after their procedure. Results : Five patients developed radial pseudoaneurysm after diagnostic and interventional procedures, likely reflecting inadequate hemostasis following the procedure and delayed bleeding complicating systemic anticoagulation. Conclusions : While uncommon, radial artery pseudoaneurysm may complicate cardiac catheterization procedures, with anticoagulation an important contributor. The clinical presentation, likely precipitating mechanisms and treatment options are discussed. © 2011 Wiley Periodicals, Inc.