A Very Rare Complication of Trans-Radial Cardiac Catheterization: Radial Artery Pseudoaneurysm: Case Report

Abstract

rans-radial approach to cardiac catheterization certainly has advantages in terms of access-site complications. 1 Although very low, complications such as radial artery occlusion, nonocclusive injury, spasm, hand ischemia, nerve damage, bleeding and pseudoaneurysm formation may occur. 2 In this report, we presented a radial artery pseudoaneurysm in a patient on anticoagulation therapy. CASE REPORTA 42-year-old male underwent diagnostic coronary angiography prior to the surgical procedure. Catheterization was performed with the standard heparin regimen (5000 IU IV bolus only once). Hemostatic parameters were normal prior to surgery. Mechanical aortic valve replacement and ascending aorta graft interposition were performed. The patient was on warfarin therapy along with low molecular weight heparin (LMWH) following surgery.

Radial artery pseudoaneurysm a rare complication after coronary angiography: A case report and systematic review of the reported cases

“…The literature included 41 patients from 32 case reports (Figure 2 and Table 1). 6,8–38 The mean age of patients was 68.5 years with a male prevalence of 49%. Onset of pseudoaneurysm ranged from 0 days (directly after the catheterization) to 150 days with a median of 5 days.…”