Pseudoaneurysm of the radial artery following coronary angiography
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An 85-year-old female patient was admitted to hospital with a non-ST-elevation myocardial infarction. After initial medical management with clopidogrel, aspirin, and enoxaparin, the patient underwent coronary angiography through the right radial artery using the standard Seldinger puncture technique and insertion of a 6-Fr Terumo Radifocus II (Terumo Medical, Japan) sheath. Unfractionated heparin 5,000 IU was administered via the sheath immediately after radial access. Percutaneous coronary intervention (PCI) of the left anterior descending artery was undertaken, with deployment of a bare-metal stent. The sheath was removed at the end of the procedure and a radial compressive device (TR band; Terumo Interventional Systems, Somerset, NJ) was applied over the arterial puncture site to achieve nonocclusive hemostasis. No complications occurred during, or immediately after, the procedure.
Gradual deflation of the radial compressive device, over 90 min, was commenced after 2-h full...
KeywordsPercutaneous Coronary Intervention Coronary Angiography Radial Artery Femoral Approach Thrombin Injection
Pseudoaneurysma der A. radialis nach Koronarangiographie
Compliance with ethical guidelines
Conflict of interest. C.B. Samaranayake, T.J. Timothy, J.T. Stewart, and M.E. Legget state that there are no conflicts of interest. The accompanying manuscript does not include studies on humans or animals.
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