电邮这篇文章 A rare case of a variant of development of a pseudoaneurysm after angiography and stenting of coronary arteries with transradial access
- 作者: Kalinin R.E.1, Suchkov I.A.1, Karpov A.V.2, Shanayev I.N.1
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隶属关系:
- Ryazan State Medical University
- Clinical Hospital No. 6 named after G. A. Zakharyin
- 期: 卷 33, 编号 1 (2025)
- 页面: 87-94
- 栏目: Clinical reports
- URL: https://journal-vniispk.ru/pavlovj/article/view/291050
- DOI: https://doi.org/10.17816/PAVLOVJ252747
- ID: 291050
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INTRODUCTION: Transradial access in catheterization of the coronary arteries is a safe and widely used approach with significantly lower incidence of serious complications compared with the transfemoral access. Since this is the basic form of access used by interventional surgeons dealing with coronary vessel pathology, awareness of its complications is of much importance. Pseudoaneurysm of the radial artery is a rare complication of transradial access with a typical localization of the defect along the anterior wall of the artery. The most common causes include inadequate compression of the puncture site, systemic use of anticoagulants by the patient or the use of sheaths larger than 6 Fr. Early detection and treatment of this rare complication are of great importance.
Aim: To present a clinical case of a patient with a pseudoaneurysm of the radial artery that developed on the first day after injury to the posterior arterial wall.
This paper presents a clinical case of a patient with radial artery pseudoaneurysm resulting from injury to the posterior wall of the artery that occurred during puncture and was successfully closed using tight bandaging.
CONCLUSION: The clinical case is presented due to its rare frequency of occurrence. A careful puncture of the radial artery without damaging the posterior wall will help avoid the development of this complication of coronary angiography. Compression of the puncture site of the pseudoaneurysm neck under ultrasound control can be an alternative to surgical treatment.
作者简介
Roman Kalinin
Ryazan State Medical University
Email: kalinin-re@yandex.ru
ORCID iD: 0000-0002-0817-9573
SPIN 代码: 5009-2318
MD, Dr. Sci. (Med.), Professor
俄罗斯联邦, RyazanIgor' Suchkov
Ryazan State Medical University
Email: suchkov_med@mail.ru
ORCID iD: 0000-0002-1292-5452
SPIN 代码: 6473-8662
MD, Dr. Sci. (Med.), Professor
俄罗斯联邦, RyazanAleksandr Karpov
Clinical Hospital No. 6 named after G. A. Zakharyin
Email: karpov145@yandex.ru
ORCID iD: 0000-0001-9635-9445
SPIN 代码: 5907-1019
MD.
俄罗斯联邦, PenzaIvan Shanayev
Ryazan State Medical University
编辑信件的主要联系方式.
Email: c350@yandex.ru
ORCID iD: 0000-0002-8967-3978
SPIN 代码: 5524-6524
MD, Dr. Sci. (Med.)
俄罗斯联邦, Ryazan参考
- Kalinin RE, Suchkov IA, Alferov YuV, et al. Coronary artery aneurism: clinical case. Nauka Molodykh (Eruditio Juvenium). 2021;9(4):605–12. (In Russ). doi: 10.23888/HMJ202193605-612
- Kostyamin YuD, Mikhaylichenko VYu, Baziyan–Kukhto NK, et al. Experience of using intra-aortic balloon counterpulsation during coronary bypass surgery and coronary stenting in patients with reduced left ventricular ejection fraction and mitral regurgitation of ischemic genesis. I. P. Pavlov Russian Medical Biological Herald. 2021;29(3):419–26. (In Russ). doi: 10.17816/PAVLOVJ60221
- Kondaraki AV, Chupin AV, Alekyan BG, et al. Achievements and Prospects for Vascular Surgery in Treatment of Vertebrobasilar Insufficiency. I. P. Pavlov Russian Medical Biological Herald. 2022;30(4): 563–74. (In Russ). doi: 10.17816/PAVLOVJ109601
- Savel’yev VS, Petrosyan YuS, Zingerman LS, et al. Angiograficheskaya diagnostika zabolevaniy aorty i eyo vetvey. Moscow: Meditsina; 1975. (In Russ).
- Garry BP, Bivens HE. The Seldinger technique. J Cardiothorac Anesth. 1988;2(3):403. doi: 10.1016/0888-6296(88)90342-0
- Campeau L. Percutaneous radial artery approach for coronary angiography. Cathet Cardiovasc Diagn. 1989;16(1):3–7. doi: 10.1002/ccd.1810160103
- Kiemeneij F, Laarman GJ. Percutaneous transradial artery approach for coronary stent implantation. Cathet Cardiovasc Diagn. 1993; 30(2):173–8. doi: 10.1002/ccd.1810300220
- Lapp H, Krakau I. The Cardiac Catheter Book. Diagnostic and Interventional Techniques. Moscow: Medicinskaya literatura; 2019. (In Russ).
- Roy S, Kabach M, Patel DB, et al. Radial Artery Access Complications: Prevention, Diagnosis and Management. Cardiovasc Revasc Med. 2022; 40:163–71. doi: 10.1016/j.carrev.2021.12.007
- Shroff A, Siddiqui S, Burg A, et al. Identification and management of complications of transradial procedures. Curr Cardiol Rep. 2013; 15:350. doi: 10.1007/s11886-013-0350-x
- Bhat T, Bhat H, Teli S, et al. Pseudoaneurysm a rare complication of transradial cardiac catheterization: a case report. Vascular. 2013;21(5):331–4. doi: 10.1177/1708538113478745
- Bhat T, Teli S, Bhat H, et al. Access-site complications and their management during transradial cardiac catheterization. Expert Rev Cardiovasc Ther. 2012;10(5):627–34. doi: 10.1586/erc.12.16
- Collins N, Wainstein R, Ward M, et al. Pseudoaneurysm after transradial cardiac catheterization: case series and review of the literature. Catheter Cardiovasc Interv. 2012;80(2):283–7. doi: 10.1002/ccd.23216
- Gallinoro E, Natale F, D’Elia S, et al. Radial pseudoaneurysm in elderly: a rare event with undefined therapeutical approach. A case report and literature review. Monaldi Arch Chest Dis. 2019;89:1109. doi: 10.4081/monaldi.2019.1109
- Molina–López V, Nieves–La Cruz C, Llopart–Herrera L, et al. Successful Treatment of Radial Artery Pseudoaneurysm After Transradial Cardiac Catheterization With Continuous Compression Therapy by a TR Band® Radial Compression Device. Cardiovasc Revasc Med. 2021;28(Suppl):227–31. doi: 10.1016/j.carrev.2020.09.021
- Kalinin RE, Suchkov IA, Shanaev IN, et al. Case Report of Patient with Posttraumatic Arteriovenous Fistula of Femoral Vessels in the Lower Third of Thigh: Peculiarities of Pathogenesis and Difficulties of Management. I. P. Pavlov Russian Medical Biological Herald. 2022;30(3):375–86. (In Russ). doi: 10.17816/PAVLOVJ102594
- Dorn A, Galkin P, Kalmykov E, et al. Case report of a massive pseudoaneurysm of the anterior tibial artery. I. P. Pavlov Russian Medical Biological Herald. 2021;29(2):293–8. (In Russ). doi: 10.17816/PAVLOVJ70498
- Kalinin RE, Suchkov IA, Karpov VV, et al. Potentials of Using Allografts in Surgical Treatment of Popliteal Artery Aneurysms. I. P. Pavlov Russian Medical Biological Herald. 2022;30(1):115–22. (In Russ). doi: 10.17816/PAVLOVJ76343
- Vinogradova YuA, Kokov LS, Mikhailov IP, et al. Methods of treatment of pulsating hematoma and false aneurysm peripheral arteries after endovascular interventions. Lechaschi Vrach. 2018;(7): 21–4. (In Russ).
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