, Volume 40, Issue 4, pp 635–636 | Cite as

Pseudoaneurysm of the radial artery following coronary angiography

  • C.B. SamaranayakeEmail author
  • T.J. Timothy
  • J.T. Stewart
  • M.E. Legget
Case study

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...


Percutaneous Coronary Intervention Coronary Angiography Radial Artery Femoral Approach Thrombin Injection 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

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.


  1. 1.
    Kanei Y, Nakra NC, Liou M et al (2011) Randomized comparison of transradial coronary angiography via right or left radial artery approaches. Am J Cardiol 107:195–197PubMedCrossRefGoogle Scholar
  2. 2.
    Mitchell MD, Hong JA, Lee BY et al (2012) Systematic review and cost-benefit analysis of radial artery access for coronary angiography and intervention. Circ Cardiovasc Qual Outcomes 5:454–462PubMedCentralPubMedCrossRefGoogle Scholar
  3. 3.
    Jolly SS, Yusuf S, Cairns J et al (2011) Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial. Lancet 377:1409–1420PubMedCrossRefGoogle Scholar
  4. 4.
    Achenbach S, Ropers D, Kallert L et al (2008) Transradial versus transfemoral approach for coronary angiography and intervention in patients above 75 years of age. Catheter Cardiovasc Interv 72:629–635PubMedCrossRefGoogle Scholar
  5. 5.
    Louvard Y, Benamer H, Garot P et al (2004) Comparison of transradial and transfemoral approaches for coronary angiography and angioplasty in octogenarians (the OCTOPLUS study). Am J Cardiol 94:1177–1180PubMedCrossRefGoogle Scholar
  6. 6.
    Popovic B, Freysz L, Chometon F et al (2010) Femoral pseudoaneurysms and current cardiac catheterization: evaluation of risk factors and treatment. Int J Cardiol 141:75–80PubMedCrossRefGoogle Scholar
  7. 7.
    Inan MB, Acikgoz B, Yazicioglu L et al (2011) A rare complication of radial artery catheterization. Vascular 19:167–169PubMedCrossRefGoogle Scholar
  8. 8.
    Eichhofer J, Horlick E, Ivanov J et al (2008) Decreased complication rates using the transradial compared to the transfemoral approach in percutaneous coronary intervention in the era of routine stenting and glycoprotein platelet IIb/IIIa inhibitor use: a large single-center experience. Am Heart J 156:864–870PubMedCrossRefGoogle Scholar
  9. 9.
    Williams PD, Eccleshall S (2009) Delayed presentation of radial artery pseudoaneurysm secondary to catheter trauma during percutaneous coronary intervention. Heart 95:1084PubMedCrossRefGoogle Scholar
  10. 10.
    Fagih B, Beaudry Y (2000) Pseudoaneurysm: a late complication of the transradial approach after coronary angiography. J Invasive Cardiol 12:216–217PubMedGoogle Scholar
  11. 11.
    Collins N, Wainstein R, Ward M et al (2012) Pseudoaneurysm after transradial cardiac catheterization: case series and review of the literature. Catheter Cardiovasc Interv 80:283–287PubMedCrossRefGoogle Scholar
  12. 12.
    Pancholy S, Coppola J, Patel T et al (2008) Prevention of radial artery occlusion-patent hemostasis evaluation trial (PROPHET study): a randomized comparison of traditional versus patency documented hemostasis after transradial catheterization. Catheter Cardiovasc Interv 72:335–340PubMedCrossRefGoogle Scholar
  13. 13.
    Cubero JM, Lombardo J, Pedrosa C et al (2009) Radial compression guided by mean artery pressure versus standard compression with a pneumatic device (RACOMAP). Catheter Cardiovasc Interv 73:467–472PubMedCrossRefGoogle Scholar
  14. 14.
    Pancholy SB, Patel TM, Pancholy SB, Patel TM (2012) Effect of duration of hemostatic compression on radial artery occlusion after transradial access. Catheter Cardiovasc Interv 79:78–81PubMedCrossRefGoogle Scholar
  15. 15.
    Liou M, Tung F, Kanei Y et al (2010) Treatment of radial artery pseudoaneurysm using a novel compression device. J Invasive Cardiol 22:293–295PubMedGoogle Scholar
  16. 16.
    Tsao JW, Neymark E, Gooding GA (2000) Radial artery mycotic pseudoaneurysm: an unusual complication of catheterization. J Clin Ultrasound 28:414–416PubMedCrossRefGoogle Scholar
  17. 17.
    D’Achille A, Sebben RA, Davies RP (2001) Percutaneous ultrasound-guided thrombin injection for coagulation of post-traumatic pseudoaneurysms. Australas Radiol 45:218–221CrossRefGoogle Scholar
  18. 18.
    Komorowska-Timek E, Teruya TH, Abou-Zamzam AM Jr et al (2004) Treatment of radial and ulnar artery pseudoaneurysms using percutaneous thrombin injection. J Hand Surg 29:936–942CrossRefGoogle Scholar

Copyright information

© Urban & Vogel 2013

Authors and Affiliations

  • C.B. Samaranayake
    • 1
    Email author
  • T.J. Timothy
    • 1
  • J.T. Stewart
    • 1
  • M.E. Legget
    • 1
  1. 1.Green Lane Cardiovascular ServiceAuckland City HospitalGrafton, AucklandNew Zealand

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