Department of Interventional Cardiology, Hospital São Paulo, Escola Paulista de Medicina, UNIFESP. Napoleão de Barros, number 715 - Vila Clementino, São Paulo-SP, Brazil, 04024-002.
J Invasive Cardiol. 2021 Oct;33(10):E836-E838. doi: 10.25270/jic/21.00139.
A 75-year-old woman with hypertension, hypothyroidism, and diabetes was referred to the catheterization laboratory due to non-ST segment elevation myocardial infarction. Urgent coronary angiography was uneventfully performed via right distal transradial access, despite lusoria subclavian artery. Left anterior descending artery was successfully treated by percutaneous coronary intervention with stenting. A TR band was left in situ for 60 minutes and completely removed after 2 hours, without bleeding. Proximal and distal radial pulses were palpable after hemostasis and at hospital discharge, 24 hours later, uneventfully. Six days after, she noticed subtle and rapidly progressive wrist, hand and fingers swelling, with pain, ecchymosis, and movement limitation.
一位 75 岁女性，患有高血压、甲状腺功能减退症和糖尿病，因非 ST 段抬高型心肌梗死被转至导管室。尽管锁骨下动脉迂曲，但仍经右侧远端桡动脉入路顺利进行了紧急冠状动脉造影。经皮冠状动脉介入治疗成功治疗了左前降支，并用支架置入。TR band 留置原位 60 分钟，2 小时后完全取出，无出血。止血后和 24 小时后出院时均能触及近端和远端桡动脉脉搏，无异常。6 天后，她注意到手腕、手和手指逐渐出现轻微肿胀，伴有疼痛、瘀斑和活动受限。
