Grant Jelani K, Rawlins Randolph, Henry Ronald E
Department of Internal Medicine, Jackson Memorial Hospital/University of Miami, Miami, FL, USA.
Department of Cardio-Thoracic Surgery, Advanced Cardiovascular Institute Surgical Therapies, Port of Spain, Trinidad and Tobago.
Am J Case Rep. 2018 Dec 5;19:1441-1444. doi: 10.12659/AJCR.909091.
BACKGROUND Radial artery access during coronary angiography has gained popularity as there are fewer associated complications when compared with femoral artery access. However sporadic complications can occur following radial artery catheterization. A rare case of axillary, chest wall and abdominal hematoma is presented following radial artery catheterization. CASE REPORT A 58-year-old man with hypertension, type 2 diabetes, with a history of smoking, underwent elective coronary artery angiography via the right radial artery route. He was discharged from care without event, before returning 24 hours later with a large hematoma of the right axilla, extending to the anterior chest wall and abdomen. One year previously, he underwent coronary artery angiography with catheterization of the femoral artery, which was without complications. On this occasion, after resolution of the hematoma, he underwent coronary artery bypass graft (CABG) surgery. CONCLUSIONS This case has reported a rare complication of radial artery catheterization that involved extensive hematoma involving the chest, abdominal wall, and axilla. Although such complications may be rare, a high level of vigilance should be maintained for rare complications in patients undergoing radial artery catheterization.
在冠状动脉造影术中，桡动脉穿刺途径越来越受欢迎，因为与股动脉穿刺相比，其相关并发症较少。然而，桡动脉插管后仍可能发生散发性并发症。本文报告了一例桡动脉插管后出现腋窝、胸壁和腹部血肿的罕见病例。病例报告：一名58岁男性，患有高血压、2型糖尿病，有吸烟史，经右桡动脉途径接受了选择性冠状动脉造影。他出院时无异常情况，但24小时后因右腋窝出现巨大血肿再次入院，血肿延伸至前胸壁和腹部。一年前，他接受了冠状动脉造影及股动脉插管，未出现并发症。此次，血肿消退后，他接受了冠状动脉旁路移植术（CABG）。结论：本病例报告了桡动脉插管的一种罕见并发症，即累及胸部、腹壁和腋窝的广泛血肿。尽管此类并发症可能罕见，但对于接受桡动脉插管的患者，应高度警惕罕见并发症的发生。
