Radial artery pseudoaneurysm following cardiac catheterization: A nonsurgical conservative management approach

Abstract

A radial artery pseudoaneurysm represents a rare, potentially catastrophic complication of arterial cannulation that has been reported after cardiac catheterization. Treatment options are limited to chemical, mechanical, and combined approaches to obliterate the radial artery pseudoaneurysm and tract. Manual compression protocols using the TR Band have been variableand anecdotal, without objective measurements of adequate compression, making this technique prone to failure (1). In this report, we present an efficient, safe, and noninvasive management for treatment of radial artery pseudoaneurysms that is cost-effective and efficient and ensures correction without occlusion of the radial artery.

Radial artery pseudoaneurysm after transradial cardiac catheterization: A case presentation

“…Thrombin injections have been shown to lead to better and faster results, thus obviating a more invasive procedure and resolving the pseudoaneurysm more efficiently [11] . Nonetheless, when presented with the specific anatomy of the pseudoaneurysm, such as a short or wide neck, there is a potential risk of clot propagation, making an open repair the best option.…”

Noninvasive Treatment Approach of Radial Pseudoaneurysm

“…Because of the time and staff commitments with the aforementioned transducer probe approach, a more practical approach is ideal. A unique strategy of utilizing a Terumo band (TR Band ® ) to apply consistent radial compression has been utilized successfully in a few case studies [9, 10]. This approach is highly replicable, requires less staffing and time than other procedures, is based upon literature review, and has been successful.…”

Development and treatment of two distinct pseudoaneurysms following transradial coronary catheterization in a patient with high bleeding risk: a case report

“…In contrast, compression therapy for radial artery pseudoaneurysm is less well structured. Different instruments have been used for compression including bandage, UGCR, and, more recently, the TR band [6, 9]. Because of its wide availability and simplicity, the TR band has been proposed as an ideal tool for the treatment of radial pseudoaneurysm.…”

“…Because of its wide availability and simplicity, the TR band has been proposed as an ideal tool for the treatment of radial pseudoaneurysm. Protocols used in these reports vary from case to case, with compression time ranging from 20 minutes to 4.5 hours to even 72 hours [6, 9]. In this case, we chose daily intermittent compression sessions as our approach, assisted by Doppler ultrasound to assess its effectiveness.…”