经桡动脉心脏导管插入术后无菌性桡动脉肉芽肿。

Sterile radial artery granuloma after transradial cardiac catheterization.

作者信息

Zellner Christian, Yeghiazarians Yerem, Ports Thomas A, Ursell Philip, Boyle Andrew J

机构信息

Division of Cardiology, Department of Medicine, University of California San Francisco, San Francisco, CA, USA.

Department of Pathology, University of California San Francisco, San Francisco, CA, USA.

出版信息

Cardiovasc Revasc Med. 2011 May-Jun;12(3):187-189. doi: 10.1016/j.carrev.2010.06.003. Epub 2010 Oct 20.

DOI:10.1016/j.carrev.2010.06.003

PMID:21640939

Abstract

Transradial cardiac catheterization has lower rates of arterial access site complications than transfemoral procedures. However, there are complications that are unique to the transradial route. We present the case of a sterile granuloma occurring at the site of radial arterial access as a reaction to the hydrophilic coating on the sheath. The clinical presentation was suggestive of an infected pseudoaneurysm. Awareness of this entity may help clinicians avoid unnecessary surgical procedures, as these granulomata are transient self-limiting reactions.

摘要

经桡动脉心脏导管插入术比经股动脉手术的动脉穿刺部位并发症发生率更低。然而，经桡动脉途径存在一些独特的并发症。我们报告一例发生在桡动脉穿刺部位的无菌性肉芽肿病例，这是对鞘管亲水涂层的一种反应。临床表现提示为感染性假性动脉瘤。认识到这一实体可能有助于临床医生避免不必要的外科手术，因为这些肉芽肿是短暂的自限性反应。