Distal Radial Pseudoaneurysm After Chronic Total Occlusion Percutaneous Coronary Intervention Resolved by Percutaneous Thrombin Injection.
CTO
Distal radial
Pseudoaneurysm
Snuffbox
Journal
Cardiovascular revascularization medicine : including molecular interventions
ISSN: 1878-0938
Titre abrégé: Cardiovasc Revasc Med
Pays: United States
ID NLM: 101238551
Informations de publication
Date de publication:
11 2020
11 2020
Historique:
received:
22
03
2020
revised:
01
05
2020
accepted:
18
05
2020
pubmed:
1
6
2020
medline:
13
8
2021
entrez:
1
6
2020
Statut:
ppublish
Résumé
The distal radial approach was recently introduced with the hope to improve patients' comfort, particularly during left wrist access and maybe to reduce the rate of complications (mainly radial artery occlusion). However up to now, little is known about the real incidence and type of complications related to this access site. We report the case of a left distal radial pseudoaneurysm complicating a successful percutaneous recanalization of a right coronary artery chronic total occlusion with bilateral wrist approach (right radial artery retrograde and left distal radial artery antegrade). This complication was successfully resolved by percutaneous thrombin injection. Our case proves that dTRA is not free from conventional vascular complications and this should be considered during the planning of the best strategy for our patients.
Sections du résumé
BACKGROUND
The distal radial approach was recently introduced with the hope to improve patients' comfort, particularly during left wrist access and maybe to reduce the rate of complications (mainly radial artery occlusion). However up to now, little is known about the real incidence and type of complications related to this access site.
CASE PRESENTATION
We report the case of a left distal radial pseudoaneurysm complicating a successful percutaneous recanalization of a right coronary artery chronic total occlusion with bilateral wrist approach (right radial artery retrograde and left distal radial artery antegrade). This complication was successfully resolved by percutaneous thrombin injection.
CONCLUSION
Our case proves that dTRA is not free from conventional vascular complications and this should be considered during the planning of the best strategy for our patients.
Identifiants
pubmed: 32473913
pii: S1553-8389(20)30290-6
doi: 10.1016/j.carrev.2020.05.018
pii:
doi:
Substances chimiques
Thrombin
EC 3.4.21.5
Types de publication
Case Reports
Langues
eng
Sous-ensembles de citation
IM
Pagination
134-137Informations de copyright
Copyright © 2020 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of competing interest The authors declare no conflict of interest.