Ghanavati Reza, Arab Ahmadi Mehran, Behnam Behdad
Rasoul Akram General Hospital, Iran University of Medical Sciences, Tehran, Iran.
Functional Neurosurgery Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Tehran Heart Cent. 2017 Apr;12(2):82-84.
Transradial coronary angiography has been known as an alternative to the transfemoral approach with fewer serious complications. Radial artery pseudoaneurysms present as a rare complication of transradial catheterization. Although some methods have been applied for the obliteration of pseudoaneurysms, the use of radial bands such as the TR Band (Terumo Medical Corporation, Somerset, NJ) is a novel efficient technique only suggested by a few reports. We describe a 34-year-old man, who underwent transradial primary coronary angiography due to ST-elevation myocardial infarction. Two months later, he noticed a pulsatile mass on his hand where the catheterization was done. Ultrasonography proved the diagnosis of a pseudoaneurysm. Consequently, a TR Band was applied to compress the mass. Interestingly, 24 hours later, ultrasonography confirmed a thrombosed pseudoaneurysm and the pulsatile mass had completely disappeared gradually without recurrence at 2 months' follow-up. Hence, this case report aims to propose the TR Band as an effective noninvasive method for the treatment of pseudoaneurysms following catheterization.
经桡动脉冠状动脉造影术已被认为是一种替代经股动脉途径的方法，严重并发症较少。桡动脉假性动脉瘤是经桡动脉导管插入术的一种罕见并发症。尽管已经应用了一些方法来消除假性动脉瘤，但使用如TR Band（泰尔茂医疗公司，新泽西州萨默塞特）等桡动脉束带是一种仅在少数报告中提及的新型有效技术。我们描述了一名34岁男性，因ST段抬高型心肌梗死接受了经桡动脉初次冠状动脉造影术。两个月后，他在进行导管插入术的手部发现了一个搏动性肿块。超声检查证实为假性动脉瘤。因此，应用了TR Band来压迫肿块。有趣的是，24小时后，超声检查证实假性动脉瘤已形成血栓，搏动性肿块在2个月的随访中逐渐完全消失且未复发。因此，本病例报告旨在提出将TR Band作为导管插入术后治疗假性动脉瘤的一种有效的非侵入性方法。
