Sharma Radhika, Patel Pujan, Catanzaro John N
Division of Cardiology, Department of Internal Medicine, University of Florida, 655 W 8th St., 5th Floor, Ambulatory Care Center, Jacksonville, FL, 32209, United States.
Division of Cardiology, Department of Internal Medicine, University of Florida, 655 W 8th St., 5th Floor, Ambulatory Care Center, Jacksonville, FL, 32209, United States.
Int J Surg Case Rep. 2021 Apr;81:105774. doi: 10.1016/j.ijscr.2021.105774. Epub 2021 Mar 16.
Transradial artery approach for cardiac catheterization was first introduced in the late 1980s and has now become the approach of choice due to its anatomical advantage, reduction in complications, and overall improved patient experience.
We present a case of a 77 year-old female who presented with an extremely rare and late complication of radial artery pseudoaneurysm after transradial coronary intervention. The patient presented at a post-procedural follow-up with severe pain at the radial access site and was found to have a partially thrombosed pseudoaneurysm. Given the anatomical variance of the pseudoaneurysm, the patient underwent successful open surgical repair.
Although radial artery access is a relatively safe approach in comparison to the transfemoral approach, the risk of adverse events still exists. Among the complications of the transradial approach, pseudoaneurysms are relatively rare, occurring in less than 0.1% of cases. Regardless, early identification of this complication is essential to timely intervention.
Our case highlights the importance of post procedural monitoring and early identification and diagnosis of the complication to facilitate appropriate therapy.
经桡动脉途径进行心脏导管插入术于20世纪80年代末首次引入，由于其解剖学优势、并发症减少以及患者总体体验改善，现已成为首选途径。
我们报告一例77岁女性患者，该患者在经桡动脉冠状动脉介入治疗后出现了极为罕见的桡动脉假性动脉瘤晚期并发症。患者在术后随访时因桡动脉穿刺部位剧痛就诊，发现有部分血栓形成的假性动脉瘤。鉴于假性动脉瘤的解剖变异，患者接受了成功的开放手术修复。
尽管与经股动脉途径相比，经桡动脉途径相对安全，但不良事件风险仍然存在。在经桡动脉途径的并发症中，假性动脉瘤相对少见，发生率不到0.1%。无论如何，早期识别这种并发症对于及时干预至关重要。
我们的病例强调了术后监测以及早期识别和诊断该并发症以促进适当治疗的重要性。
