Iatrogenic perforation of subclavian artery as a complication of coronary angiography from the radial route, endovascularly repaired with a covered stent-graft

Abdool, Muhammad Ali; Morrison, Siobhan; Sullivan, Heather I.

doi:10.1136/bcr-2012-007602

Cited by 11 publications

(3 citation statements)

References 3 publications

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“…Vascular perforation associated with delivery of a 6 French guide catheter in the subclavian and brachiocephalic arteries is rare, with few cases reported in the literature [ 6 – 8 ]. In this case, brachiocephalic artery perforation resulted in pseudoaneurysm formation and a large mediastinal hematoma with tracheal compression and stridor.…”

Section: Discussionmentioning

confidence: 99%

Mediastinal Hematoma and Tracheal Compression following Transradial Percutaneous Coronary Intervention

Smilowitz

Sarić

Attubato

et al. 2018

Case Reports in Cardiology

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Vascular complications from transradial percutaneous coronary intervention (PCI) are rare. We report an unusual case of stridor after PCI due to brachiocephalic artery perforation, pseudoaneurysm formation, and development of a large mediastinal hematoma with tracheal compression. Endovascular repair of the brachiocephalic artery was achieved with covered stent placement at the neck of the pseudoaneurysm. This case highlights the importance of careful guide catheter placement from the right radial approach. Ultimately, rapid diagnosis of vascular perforation, appropriate airway management, and prompt endovascular repair of the injured vessel is critical to the successful management of this life-threatening condition.

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Section: Discussionmentioning

confidence: 99%

Mediastinal Hematoma and Tracheal Compression following Transradial Percutaneous Coronary Intervention

Smilowitz

Sarić

Attubato

et al. 2018

Case Reports in Cardiology

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“…[9] Stent-graft such as VIABAHN could be applied effectively from the femoral route into arteries of upper extremity. [10] The disadvantage was small blood vessel near stent-graft would be jailed and sacrificed. The graft-stents can be expensive and may be limited because the immediately appropriate sized stent-grafts may not be avail-able, especially the smaller diameter.…”

Section: Discussionmentioning

confidence: 99%

Thoracoacromial artery bleeding manifests as an enlarging chest mass: A rare case report

Lin

Huang

Lee

et al. 2019

CRIM

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Thoracoacromial artery perforation is a rare complication after coronary angiography. Herein, we reported a 70-year-old male previous post coronary artery bypass surgery being admitted for chest discomfort. Coronary angiography from radial artery approach showed all patent bypassed grafts and the patient was sent back to the ordinary ward. However, enlarging mass over left chest wall as woman’s breast was noted suddenly and we immediately used sandbag and elastic adhesive tape to compress the mass. Emergent chest computed tomography showed a large hematoma at the left chest wall with active bleeding from pectoral branch of thoracoacromial artery. However, left chest wall mass gradually subsided after compression strategy. This patient reminds physicians thoracoacromial artery perforation manifesting as chest wall mass is a rare but possible complication after coronary angiography.

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“…Left subclavian artery bleeding is a rare complication of cardiac pacemaker implantation, when occurring, often causes life-threatening hemorrhage and must be carefully ruled out by physical examination as well as diagnosed by imaging through contrast dye on a brightening screen right during the intervention [1] [2] [3]. In recent years, with the technical developments and increasing experience of practitioners, treating this complication by endovascular stent placement has become the most convenient and effective treatment method [4].…”

Section: Introductionmentioning

confidence: 99%

Subclavian Arterial Bleeding during Permanent Pacemaker Implantation: Clinical Case Report and Literature Review

Chu,

Tran,

Tran

et al. 2023

OJEM

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Research objective: To study a clinical case that had a complication of subclavian artery bleeding during permanent pacemaker implantation process. Subject and Method: Clinical case report and literature review. Study of a patient had an indication for permanent pacemaker implantation who had complication of subclavian artery bleeding during the procedure. Result: An 84-year-old female patient was admitted to the hospital because of fainting spells with chest pain, on the background of dangerous complex arrhythmias and ischemic heart disease, and was prescribed a pacemaker for this patient. The patient had complication occurred during the procedure, which left subclavian artery bleeding was detected and treated promptly, a cardiac pacemaker was implanted on the right side of the chest, and the patient had a successful endovascular stent cover in the left subclavian artery. Conclude: Subclavian artery bleeding is a rare complication in the procedure of permanent pacemaker implantation, but it can still occur and requires quick detection and timely treatment, needs to be successful in cardiac pacemaker placement and subclavian artery drug-eluting stent cover placement intervention. Individualized patient risk assessment is needed; appropriate and standardized intervention techniques and experience can reduce the occurrence of this variable.

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Iatrogenic perforation of subclavian artery as a complication of coronary angiography from the radial route, endovascularly repaired with a covered stent-graft

Cited by 11 publications

References 3 publications

Mediastinal Hematoma and Tracheal Compression following Transradial Percutaneous Coronary Intervention

Mediastinal Hematoma and Tracheal Compression following Transradial Percutaneous Coronary Intervention

Thoracoacromial artery bleeding manifests as an enlarging chest mass: A rare case report

Subclavian Arterial Bleeding during Permanent Pacemaker Implantation: Clinical Case Report and Literature Review

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