Cardiovascular Unit, John Hunter Hospital, Newcastle, New South Wales, Australia.
Catheter Cardiovasc Interv. 2012 Aug 1;80(2):283-7. doi: 10.1002/ccd.23216. Epub 2011 Dec 12.
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.
We describe a series of patients who developed radial artery pseudoaneurysm after their procedure.
Five patients developed radial pseudoaneurysm after diagnostic and interventional procedures, likely reflecting inadequate hemostasis following the procedure and delayed bleeding complicating systemic anticoagulation.
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.
经桡动脉入路进行诊断和治疗操作在血管并发症方面具有明显优势。虽然桡动脉闭塞偶尔会使桡动脉入路复杂化，但现在采用了新的止血方法来避免这种并发症。相比之下，经桡动脉入路后发生假性动脉瘤是一种极其罕见的并发症。
我们描述了一组在诊断和介入手术后发生桡动脉假性动脉瘤的患者。
5 名患者在诊断和介入手术后发生桡动脉假性动脉瘤，可能反映了术后止血不充分，以及合并全身抗凝治疗的延迟性出血。
虽然不常见，但桡动脉假性动脉瘤可能会使心脏导管术复杂化，抗凝治疗是一个重要的促成因素。讨论了其临床表现、可能的诱发机制和治疗选择。
