Radial artery pseudoaneurysm diagnosed by point-of-care ultrasound five days after transradial catheterization: A case report

Abstract

Radial artery pseudoaneurysm from arterial wall disruption is an extremely rare complication of arterial cannulation. Most prior case reports describe this complication occurring from continuous blood pressure monitoring or serial blood-gas analysis requiring extended cannulation. The increasing use of radial artery access for coronary angiography and percutaneous coronary intervention (PCI) introduces another susceptible patient population. [1-4] We report a case of a 57-year-old female with right radial artery pseudoaneurysm, diagnosed by bedside ultrasound (US) in the emergency department (ED) five days after transradial cardiac catheterization.

Investigations for the assessment of adult patients presenting to the emergency department with supraventricular tachycardia

“…Of the 81 patients in the troponin negative group, (10) 0.29 IHD: ischaemic heart disease; HTN: hypertension; DM: diabetes mellitus; Chol. : hypercholesterolaemia; CVD: cardiovascular disease; * P value was calculated for the differences in characteristics between patients who had troponin assays requested and those who did not.…”

“…Our troponin findings also support those of previously published reports that troponin elevation in the setting of SVT is unreliable in predicting underlying coronary artery disease. [9][10][11][12] Only two of our patients were eventually diagnosed with an acute coronary syndrome (NSTEMI). Interestingly, both patients initially tested negative for hs-TnI before serial troponins were elevated.…”

Sonographic Detection of Pseudoaneurysm From Ankle Sprain Injury

“…2 Diagnosis and characterization of such a vascular defect is commonly made with duplex sonography due to its quick and dynamic capabilities. 1,3 In this case, the pseudoaneurysm was the result of an ankle sprain injury during a basketball game.…”

False Aneurysm of the Radial Artery: Brief Literature Review and Case Report

“…За последнее десятилетие, из-за увеличения частоты конфликтов с применением холодного оружия, участились случаи повреждения периферических артерий с последующим развитием пульсирующей гематомы и ложной аневризмы [5][6][7][8]. Кроме того, из-за повсеместного внедрения различных внутриартериальных вмешательств, в основном рентгеноэндо-васкулярного характера, участились случаи развития ложных аневризм [4,9,10,11]. Обычно после травмы стенки лучевой артерии возникает пульсирующая гематома, которая вовремя распознается и лечится [12,13].…”

“…В последние годы ДС, из-за широкой доступности и простоты выполнения, приобрело большую популярность и применяется в большинстве специализированных клиник. В ряде случаев после проведения ДС можно получить полную характеристику аневризмы, её стенок, взаимоотношения с соседними структурами, а также информацию о характере и скоростных параметров кровотока в ней [10,16].…”