Percutaneous endovascular exclusion of radial artery pseudoaneurysm

  • سال انتشار: 1400
  • محل انتشار: مجله آریا آترواسکلروز، دوره: 17، شماره: 1
  • کد COI اختصاصی: JR_RYA-17-1_027
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 78
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نویسندگان

Santosh Sinha

Associate Professor, Department of Cardiology, LPS Institute of Cardiology, Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur, Uttar Pradesh, India

Puneet Aggarwal

Senior Registrar, Department of Cardiology, LPS Institute of Cardiology, Ganesh Shankar Vidyarthi Memorial Medical College Kanpur, Uttar Pradesh, India

Mahmodullah Razi

Senior Registrar, Department of Cardiology, LPS Institute of Cardiology, Ganesh Shankar Vidyarthi Memorial Medical College Kanpur, Uttar Pradesh, India

Awadesh K Sharma

Senior Registrar, Department of Cardiology, LPS Institute of Cardiology, Ganesh Shankar Vidyarthi Memorial Medical College Kanpur, Uttar Pradesh, India

Umeshwar Pandey

Professor, Department of Cardiology, LPS Institute of Cardiology, Ganesh Shankar Vidyarthi Memorial Medical College Kanpur, Uttar Pradesh, India

Vinay Krishna

Professor, Department of Cardiology, LPS Institute of Cardiology, Ganesh Shankar Vidyarthi Memorial Medical College Kanpur, Uttar Pradesh, India

چکیده

BACKGROUND: Coronary angiography and intervention through transradial approach is becoming default approach because of infrequent local site complications. Although pseudoaneurysm is a well described complication for femoral access, it is extremely rare in transradial access.CASE REPORT: Our patient was ۶۸-year old female who had presented with pulsatile, painful, and gradually increasing swelling over lower part of right forearm near wrist joint for past ۸-weeks following coronary angiography through right radial route. Swelling did not resolve following manual compression. It was diagnosed as pseudoaneurysm arising from right radial artery by duplex ultrasound. It was successfully excluded by deploying ۳.۵x۱۸mm Graftmaster covered stent (Abott Vascular, USA) through right transbrachial route. Ultrasonography next day revealed partially thrombosed and completely excluded pseudoaneurysm with swelling completely disappearing at ۶ weeks with patency maintained at one year.CONCLUSION: With increasing use of transradial access, more cases of radial pseudoaneurysm are likely to surface which can be prevented following a proper haemostatic protocol. To best of our knowledge, it is first ever report of percutaneous endovascular exclusion using covered stent of radial pseudoaneurysm through transbrachial approach.

کلیدواژه ها

Angiography, False Aneurysm, Radial Artery, Stent

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