Noninvasive Treatment Approach of Radial Pseudoaneurysm

Abstract

Transradial approach for cardiac catheterization is a viable alternative to transfemoral approach given its ease of access, lessened complication risk, and post procedural comfort for patients. Radial pseudoaneurysm presents as a rare complication in less than 1% of these procedures. The use of external compression banding is an approach that shows promise as a noninvasive attempt towards resolving this complication. However, it has been documented in very few reports. We describe a case of an 82-year-old woman who underwent transradial approach to cardiac catheterization, and developed a radial pseudoaneurysm following the procedure as confirmed by Doppler ultrasonography. We used compressive banding as a technique to attempt to resolve this radial pseudoaneurysm. Following a strict protocol of pneumatic banding, repeat ultrasonography revealed complete resolution of radial pseudoaneurysm. This case highlights a potentially noninvasive technique that could serve as a first-line approach towards resolving this rare phenomenon.

Update on Transradial Access for Percutaneous Transcatheter Visceral Artery Embolization

“…There is no standard treatment for radial pseudoaneurysm. Treatment options range from percutaneous thrombin injection, surgical repair, ultrasound guided compression, external compression devices, and close monitoring for spontaneous resolution (58)(59)(60).…”

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.…”