A rare complication of radial artery catheterization

Abstract

An arterial pseudoaneurysm is a cavity which does not consist of three layers of arterial wall and is generally seen at femoral and radial artery sites due to bone fractures, arterial injuries and iatrogenic reasons such as catheterization. The treatment choice may be either surgical or conservative. Patients with pseudoaneurysm should be carefully followed and the treatment choice should be immediately decided to avoid possible complications. We report a case of pseudoaneurysm formation in the radial artery that occurred one week after arterial catheterization for coronary angiography. The treatment choice for this patient was surgical and he was discharged without any complications.

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.…”

Pseudoaneurysm of radial artery after coronary angiography

“…A conservative approach can be performed in asymptomatic patients in the presence of a small PA (i.e. <10 mm in diameter), through ultrasound guided compression or minimally invasive thrombin injection have also been employed [ 1 ]. However, compression with a probe is user-dependent and sometimes inefficient in patients usually on multiple antithrombotics [ 6 ].…”

“…The most common sites for pseudoaneurysm (PA) formation are the femoral and radial arteries, mostly because of iatrogenic causes, such as catheterization for coronary angiography, continuous blood pressure monitoring or arteriovenous shunting for hemodialysis [ 1 ]. Less frequently, they may be caused by bone fractures or other traumas or be related to parenteral drug abuse.…”