Department of Medicine, University of California, San Francisco, CA, USA.
Catheter Cardiovasc Interv. 2010 Nov 1;76(5):673-6. doi: 10.1002/ccd.22730.
Trans-radial cardiac catheterization has lower rates of arterial access site complications. Hydrophilic-coated sheaths designed specifically for trans-radial procedures have resulted in numerous reports of a foreign body reaction to retained material. Although this is a self-limited condition that should be managed expectantly, it is often confused with an infected pseudoaneurysm, resulting in unnecessary surgery. We searched the FDA MAUDE (Manufacturer and User Facility Device Experience) database to determine which brands of sheath have been associated with this complication. In addition, we performed a literature search for all reported cases of this complication. Only one brand of sheath has been associated with this condition. As trans-radial procedures become more common in the US, knowledge of such complications, which appear to be specific to the Cook radial hydrophilic-coated sheaths, is imperative for all radial interventionalists to prevent unnecessary surgical procedures. © 2010 Wiley-Liss, Inc.
经桡动脉心导管术的动脉入路并发症发生率较低。专门为经桡动脉手术设计的亲水涂层鞘管已导致大量关于对留置材料发生异物反应的报告。尽管这是一种自限性疾病，应进行预期治疗，但它常与感染性假性动脉瘤混淆，导致不必要的手术。我们检索了 FDA 的 MAUDE（制造商和用户设施设备体验）数据库，以确定与该并发症相关的鞘管品牌。此外，我们还对所有报道的这种并发症的病例进行了文献检索。只有一个品牌的鞘管与这种情况有关。随着经桡动脉手术在美国越来越普遍，了解这种似乎仅与 Cook 径向亲水涂层鞘管相关的并发症对于所有经桡动脉介入医生来说都是至关重要的，以防止不必要的手术。©2010Wiley-Liss，Inc.
