Sudden rupture of small aneurysm of the radial artery in a patient with COVID‐19 pneumonia

Mazzaccaro, Daniela; Giannetta, Matteo; Malacrida, Giovanni; Zilio, Dino; Modafferi, Alfredo; Righini, Paolo; Marrocco-Trischitta, Massimiliano M.; Vaienti, Luca; Nano, Giovanni

doi:10.1002/ccr3.4285

Cited by 1 publication

(4 citation statements)

References 8 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…7 However, only a limited number of ruptured pseudoaneurysm cases treated with a surgical approach have been reported. [1][2][3] This is the first reported case to have been treated with a percutaneous intervention for the ruptured radial pseudoaneurysm using a distal radial approach. Distal radial access has been used as an alternative for conventional radial access during coronary catheterization and intervention because of its possible advantages correlated with vascular complications and patient comfort.…”

Section: Discussionmentioning

confidence: 89%

“…Various methods have been proposed to treat pseudoaneurysms, including simple compression with an echo probe, percutaneous thrombin injection, and prolonged placement of a sheath introducer 7 . However, only a limited number of ruptured pseudoaneurysm cases treated with a surgical approach have been reported 1–3 …”

Section: Discussionmentioning

confidence: 99%

“…Usually, these patients are safely managed with ultrasound‐guided mechanical compression or thrombin injection; however, in the case of a ruptured pseudoaneurysm, this is complicated by active bleeding and skin necrosis associated with possible infection. To date, only a small number of rupture cases have been reported; surgical repair was conducted in all cases 1–3 . In this study, we describe our experience of a patient with a large, ruptured radial pseudoaneurysm and SARS‐CoV‐2 infection that was treated with percutaneous intervention.…”

Section: Introductionmentioning

confidence: 99%

“…To date, only a small number of rupture cases have been reported; surgical repair was conducted in all cases. [1][2][3] In this study, we describe our experience of a patient with a large, ruptured radial pseudoaneurysm and SARS-CoV-2 infection that was treated with percutaneous intervention.…”

mentioning

confidence: 99%

See 3 more Smart Citations

Successful coil embolization with distal radial access for a ruptured radial artery pseudoaneurysm in a patient with SARS‐CoV‐2 infection

Washimi

Yamada

Takahashi

2022

Clinical Case Reports

View full text Add to dashboard Cite

A 50‐year‐old man with a medical history of diabetes mellitus and hypertension was admitted to a university hospital for severe respiratory insufficiency caused by SARS‐CoV‐2 infection. His arterial blood pressure and blood oxygen levels were monitored through a plastic cannula inserted in the radial artery in the intensive care unit. After recovery from respiratory insufficiency, the patient was moved to a local hospital where hematoma formation and skin necrosis at the puncture site were noted. On the 25th day from the initial admission, the patient developed massive bleeding from the wound on the hematoma and was transferred to our hospital on emergency. A 6‐Fr sheath introducer was inserted through the right distal radial artery in the anatomical snuff box, and instant hemostasis was accomplished without external compression. Thereafter, percutaneous thrombin injection for the pseudoaneurysm was conducted under ultrasound guidance. However, bleeding from the pseudoaneurysm was still observed after radial sheath withdrawal. We then performed coil embolization of the radial artery, which involved a coil proximal to the aneurysm, four coils in the neck of the aneurysm, and two coils distal to the aneurysm. Permanent hemostasis was achieved with no further vascular complications.

show abstract