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Radial pseudoaneurysm

Yoichiro Kawamura, Tetsuro Sayama, Naoki Maehara, Ataru Nishimura, Koji Iihara
BACKGROUND: Aberrant internal carotid artery (aICA) is an anatomical anomaly whereby the internal carotid artery (ICA) courses through the tympanic cavity without separation by bone. Since aICA is rare, there are no definite treatment strategies for aICA and its complications. CASE DESCRIPTION: We report a case of aICA accompanied by pseudoaneurysm formation and massive bleeding. Our case was a 31-year-old woman with a 2-year history of hearing loss, ear fullness, and pulsatile tinnitus in her left ear...
April 5, 2017: World Neurosurgery
Emine Alpay, Ahmet Guner, Nuri Havan, Ozge Akgun, Muzaffer Kahyaoglu, Sabahattin Gunduz, Mehmet Celik, Ozkan Candan, Cetin Gecmen
No abstract text is available yet for this article.
March 31, 2017: Coronary Artery Disease
Andrea Mignatti, Patricia Friedmann, David Paul Slovut
OBJECTIVE: The aim of this study was to assess the effectiveness of a quality improvement (QI) program in reducing vascular complications during cardiac catheterization. BACKGROUND: Vascular access complications during cardiac catheterization are associated with higher morbidity and mortality. We implemented a QI program focused on using micropuncture techniques and targeting the "safe zone," an area below the inferior border of the inferior epigastric artery and above the inferior border of the femoral head, for femoral artery puncture...
March 15, 2017: Catheterization and Cardiovascular Interventions
Rick Tosti, Sezai Özkan, Robert M Schainfeld, Kyle R Eberlin
PURPOSE: To review the causes, clinical course, and management of patients with catheter-associated radial artery pseudoaneurysm (PSA). METHODS: We reviewed all patients diagnosed with radial artery PSA resulting from arterial line placement or radial artery access for cardiac procedures from 2010 to 2015. RESULTS: We identified 11 cases: 5 caused by arterial lines and 6 by cardiac procedures. The diagnosis was confirmed by duplex ultrasound in all cases; PSA size ranged from less than 1 cm to 5 cm in diameter...
February 28, 2017: Journal of Hand Surgery
Melih Bagir, Emrah Sayit, Asli Tanrivermis Sayit
Pseudoaneurysm of the radial artery is extremely rare. It usually occurs secondary to trauma, interventional procedures, and infections. Symptoms occur due to mass effect by the pseudoaneurysm, digital ischemia, or nerve suppression. B-mode and color Doppler ultrasonography are the first choice in diagnosis. The pathognomonic ultrasound sign of pseudoaneurysm is the turbulent flow, which is called the "ying-yang" sign. Bandages, ultrasound probe compression, ultrasound-guided thrombin injection, covered stents, and surgical ligation can be used in treatment...
February 27, 2017: Annals of Vascular Surgery
Jose Paxiuta, Maria João Lobão, Liliana Carvalho
No abstract text is available yet for this article.
January 10, 2017: BMJ Case Reports
Nicholas A Calotta, Megan E Gornet, Edward F McCarthy, Donna Magid, E Gene Deune
Purpose Radial artery pseudoaneurysm is uncommon and mainly associated with radial artery cannulization for cardiac intervention or invasive hemodynamic monitoring. It is rarely seen as a result of intra-arterial recreational drug injection. Methods We present the case of a 35-year-old man with a 12-year history of intravenous drug use and 1-year history of intra-arterial drug use who developed radial artery pseudoaneurysm with a right long finger suppurative flexor tenosynovitis and subsequent acute radial-sided hand ischemia...
December 2016: Journal of Hand and Microsurgery
Apurva Patel, Roosha Parikh, Yili Huang, Michael Liou, Justin Ratcliffe, Olivier F Bertrand, Joseph Puma, Tak W Kwan
BACKGROUND: There has been an increasing use of transpedal arterial access (TPA) for evaluation and treatment of peripheral arterial disease (PAD) over a transfemoral approach (TFA). TPA, it is expected to be associated with better patient comfort, less recovery time and possibly less access site complications compared to standard TFA. Access site complications and pseudoaneurysm (PSA) associated with the TPA have not been previously reported. OBJECTIVE: Here we report a series of pedal artery PSA related to access site complicating TPA catheterization...
March 2017: Cardiovascular Revascularization Medicine: Including Molecular Interventions
Masaya Otsuka, Nobuo Shiode, Yasuhisa Nakao, Yuki Ikegami, Yusuke Kobayashi, Arinori Takeuchi, Ayako Harima, Tadanao Higaki, Kuniomi Oi, Kazuoki Dai, Tomoharu Kawase, Yasuharu Nakama, Kazuyoshi Suenari, Kenji Nishioka, Koyu Sakai, Yuji Shimatani, Yoshiko Masaoka, Ichiro Inoue
Some studies have suggested that radial access (RA) for percutaneous coronary intervention (PCI) reduces vascular complications and bleeding compared to femoral access (FA). The purpose of this study was to investigate the routine use of hemostatic devices and bleeding complications among RA, brachial access (BA), and FA. Between January 2015 and December 2015, 298 patients treated for PCI with RA were compared with 158 patients using BA and 206 patients using FA. The radial sheath was routinely removed with ADAPTY, the brachial sheath with BLEED SAFE, and the femoral sheath with Perclose ProGlide...
November 9, 2016: Cardiovascular Intervention and Therapeutics
Kajal Nitin Patel, Shruti P Gandhi, Harsh C Sutariya
With a reported incidence of 0.048%, radial artery pseudoaneurysm (PA) is a rare but serious complication of arterial cannulation. We report a case of PA developing after a single puncture of the right radial artery for arterial blood-gas analysis diagnosed by Doppler ultrasound in young male patient. The development of PA after puncture of radial artery for continuous blood pressure monitoring and serial blood-gas analysis has been reported in the past; however, to the best of our knowledge, there is only one case report of development of PA after a single arterial puncture for blood-gas analysis is reported in the past...
October 2016: Indian Journal of Critical Care Medicine
Bogdan Januś, Ireneusz Nawrot, Maciej Zarębiński, Sławomir Nazarewski, Olgierd Rowiński
No abstract text is available yet for this article.
2016: Kardiologia Polska
Manish Patwardhan, Sanjay Mehra, Assad Movahed, Ramesh Daggubati
The percutaneous transradial approach for coronary angiography and percutaneous coronary intervention is increasing in the United States. Although its vascular safety profile is better than the traditional femoral approach, it is important to learn about potential complications. In this article, we present two cases of vascular complications, namely, pseudoaneurysm and radial artery occlusion, after transradial cardiac catheterization, along with a review of the relevant literature.
2016: Reviews in Cardiovascular Medicine
M J Ramdass, P Harnarayan
INTRODUCTION Trinidad and Tobago is a trans-shipment point for the illegal trade of drugs, arms and ammunition and, as such, has a high incidence of gang-related warfare and drug-related crimes. This has led to a high incidence of gunshot and stab wounds, with associated major vascular injuries. We describe our management strategies learned from a decade of vascular trauma experience. METHODS A retrospective analysis of age, gender, type of trauma, vessel injured, procedure and outcome for all cases of vascular trauma between 2006 and 2015 at two surgical units in Trinidad and Tobago...
January 2017: Annals of the Royal College of Surgeons of England
Avtandil M Babunashvili, Samir B Pancholy, Dmitriy S Kartashov
We report a new technique for treatment of radial artery pseudoaneurysm (RAP) caused by transradial access (TRA) for coronary angiography. Traditional extrinsic compression with radial flow cessation leads to a local milieu likely associated with an increase in probability of radial artery occlusion (RAO). Our technique involves obtaining ipsilateral radial artery access distal to the neck of the RAP followed by a prolonged sheath dwell time covering the neck of the RAP which allows the RAP sac to thrombose and maintains radial artery lumen patency...
February 15, 2017: Catheterization and Cardiovascular Interventions
(no author information available yet)
No abstract text is available yet for this article.
September 2016: Anesthesiology
Stephane Noble, Elena Tessitore, Baris Gencer, Marc Righini, Helia Robert-Ebadi, Marco Roffi, Robert F Bonvini
BACKGROUND: The small diameter of radial arteries remains a major limitation of the transradial approach for percutaneous coronary intervention (PCI). Sheathless guiding catheters (GCs) might offer an advantage over standard GCs. METHODS: Between 2011 and 2013, we randomized 233 transradial PCIs performed in men with ostial or bifurcation lesions and in all women between standard GC (Medtronic Launcher; Minneapolis, MN) and the SheathLess Eaucath GC (Asahi Intecc, Aichi, Japan)...
April 4, 2016: Canadian Journal of Cardiology
Tak W Kwan, Apurva Patel, Roosha Parikh, Uschi Auguste, Hugo Rosero, Yili Huang, Michael Liou, Justin Ratcliffe, Joseph Puma
BACKGROUND: Transpedal access is increasingly utilized for peripheral vascular catheterization. There is a paucity of data on the use of radial hemostasis devices as an alternative to manual compression for achievement of hemostasis after this approach. OBJECTIVE: To compare safety and efficacy of two hemostasis devices following transpedal catheterization for lower extremity revascularization for peripheral arterial disease. METHODS: A consecutive cohort of patients with bilateral Rutherford 2-5 disease who underwent transpedal catheterization for peripheral vascular interventions were retrospectively analyzed...
August 2016: Journal of Interventional Cardiology
Jehangir N Din, Aengus Murphy, Karen Chu, Patty Forman, Richard D Mildenberger, Eric B Fretz, Imad J Nadra, Anthony Della Siega, Simon D Robinson
BACKGROUND: Although uncommon, radial artery access site complications are likely to become more frequent with the increased adoption of transradial cardiac catheterisation. There is a lack of data regarding the incidence and clinical features of radial artery pseudoaneuryms. We aimed to describe the incidence, clinical features and management of radial artery pseudoaneurysms in a high-volume transradial cardiac catheterisation centre. PATIENTS AND METHODS: We performed a search of the Vancouver Island Health Authority medical imaging database from 1st Jan 2008 to April 2012 looking for all radial and femoral artery pseudoaneuryms occurring after cardiac catheterisation...
2016: VASA. Zeitschrift Für Gefässkrankheiten
Michael-Ulrich Brehm, Kristina Sonnenschein, Jens Treptau, Thomas Aper, Johann Bauersachs, Muharrem Akin
HISTORY: Because of neurological symptoms as a result of thrombotic occlusion of the basilar artery, a successful revascularization after systemic Actilyse application was performed in a 78 year old patient. Later, it came to the formation of a pseudoaneurysm at the radial artery, punctured for invasive blood pressure measurement. TREATMENT AND COURSE: After oscillographic respectively ultrasound detection of a 2 cm wide pseudoaneurysm from the radial artery, the surgical resection of the aneurysm sac was performed...
February 2016: Deutsche Medizinische Wochenschrift
Giulia Russo, Antonella Cherubini, Maurizio Fisicaro, Giovanni Cioffi, Andrea Di Lenarda
Radial pseudoaneurysm (PA) is a rare complication of the transradial approach for the arterial catheterization.
April 2016: American Journal of Emergency Medicine
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