Merkle Julia, Hohmann Christopher, Sabashnikov Anton, Wahlers Thorsten, Wippermann Jens
Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, Germany.
Department of Cardiology, Heart Center, University Hospital of Cologne, Cologne, Germany.
J Investig Med High Impact Case Rep. 2017 Mar 23;5(1):2324709617698717. doi: 10.1177/2324709617698717. eCollection 2017 Jan-Mar.
Percutaneous coronary intervention is commonly used to treat coronary artery disease. Both transradial and transfemoral approaches are applied. In general, fewer complications are seen with the transradial approach compared to the transfemoral access, for which reason the transradial catheterization is frequently preferred. In this case presentation, we describe 2 cases of elective transradial coronary angiography both resulting in severe central vascular complications: perforation of the right subclavian artery with a mediastinal hematoma and dissection of the brachio-cephalic trunk and the aortic arch. Although the transradial access is generally considered safe, severe complications such as artery dissection or perforation can occur even in cases of elective procedures.
经皮冠状动脉介入治疗常用于治疗冠状动脉疾病。桡动脉和股动脉途径均有应用。一般来说，与股动脉途径相比，桡动脉途径的并发症较少，因此桡动脉导管插入术常更受青睐。在本病例报告中，我们描述了2例择期桡动脉冠状动脉造影均导致严重的中心血管并发症：右锁骨下动脉穿孔伴纵隔血肿以及头臂干和主动脉弓夹层。尽管桡动脉途径通常被认为是安全的，但即使在择期手术中也可能发生动脉夹层或穿孔等严重并发症。
