Key result
Monckeberg's sclerosis can coexist with coronary artery disease and cause unanticipated difficulty in arterial catheterization, as seen in a 62-year-old man whose radial access failed due to extensive calcification.
Case Report (n=1)
No
Monckeberg's sclerosis can coexist with coronary artery disease and cause unanticipated difficulty in arterial catheterization via the radial route.
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Clinicians should consider Monckeberg's sclerosis in unexplained radial access failure; single case leaves open prevalence and management questions.
We report the case of a 62-year-old diabetic man, who was incidentally detected to have extensive calcification in his upper limb arteries, consistent with Monckeberg's sclerosis. The condition was identified when routine radial puncture attempted in the course of coronary angiography was repeatedly unsuccessful. Coronary angiography and angioplasty was subsequently performed through the femoral route. Monckeberg's sclerosis is a poorly understood condition associated with generalised atherosclerosis and chronic kidney disease. The pathogenesis and natural history of Monckeberg's sclerosis are briefly discussed.
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Naha et al. (2012) conducted a case report in Monckeberg's sclerosis and coronary artery disease (n=1). Monckeberg's sclerosis was evaluated. Monckeberg's sclerosis can coexist with coronary artery disease and cause unanticipated difficulty in arterial catheterization, as seen in a 62-year-old man whose radial access failed due to extensive calcification.
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