Key result
Prolonged pneumatic compression resolves radial artery pseudoaneurysm following distal transradial access.
Why the study?
Pseudoaneurysm after distal transradial coronary intervention is a rare and challenging complication requiring effective management strategies.
Case Report (n=1)
May support conservative management of rare post-dTRA pseudoaneurysms; leaves open need for prospective data on incidence and protocols.
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.
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Oliveira et al. (2021) conducted a case report in Radial artery pseudoaneurysm (n=1). Prolonged pneumatic compression was evaluated on Resolution of pseudoaneurysm. Prolonged pneumatic compression successfully managed a rare radial artery pseudoaneurysm following distal transradial coronary intervention.
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