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Radial pseudoaneurysm

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...
September 23, 2016: 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...
August 16, 2016: 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
Mohamed Osama Mohamed, Mohsin Saif, John N Townend, Sohail Q Khan
The transradial approach for coronary catheterisation has gained rising popularity owing to its fewer access site complications compared with the transfemoral approach. A rare but recognisable complication of the procedure is radial artery pseudoaneurysm (PSA). We report a case of radial PSA occurring 2 h following percutaneous coronary intervention in an 85-year-old woman, which was successfully treated by ultrasound-guided thrombin injection. This non-surgical technique has recently gained rising popularity as a relatively novel modality of managing radial PSA...
2015: BMJ Case Reports
George Hahalis, Grigorios Tsigkas, Stavros Kakkos, Andreas Panagopoulos, Irene Tsota, Periklis Davlouros, Ioanna Xanthopoulou, Ioanna Koniari, Nikos Grapsas, Ioannis Christodoulou, George Almpanis, Marianna Leopoulou, Nicholas Kounis, Dimitrios Alexopoulos
BACKGROUND: Major, noncoronary complications are rarely encountered following transradial coronary procedures. METHODS AND RESULTS: Among 1600 prospectively studied patients with complete follow-up, 7 patients experienced major complications following coronary forearm procedures corresponding to an incidence of 0.44%. We found inadvertent symptomatic intramyocardial contrast medium injection, 2 cases with compartment syndrome of which 1 was managed surgically, exertional hand ischemia due to radial artery occlusion, a large ulnar artery pseudoaneurysm, an ulnar arteriovenous fistula, and 1 critical hand ischemia due to late occlusion of the distal brachial artery...
May 2016: Angiology
Ersan Tatli, Ali Buturak, Akif Cakar, Bulent M Vatan, Aleks Degirmencioglu, Tarık M Agac, Harun Kilic, Huseyin Gunduz, Ramazan Akdemir
OBJECTIVES: We aimed to present our experience regarding the unusual vascular complications and specific treatment strategies in patients who underwent transradial coronary procedure (TRC). BACKGROUND: Transradial access provides lower vascular access site complication rates compared with transfemoral access. However, there is lack of data obtained from large study populations concerning the incidence and treatment strategies of hemorrhagic and vascular complications following a TRC in the literature...
June 2015: Journal of Interventional Cardiology
Ciro Indolfi, Francesco Passafaro, Annalisa Mongiardo, Carmen Spaccarotella, Daniele Torella, Sabato Sorrentino, Alberto Polimeni, Vittorio Emanuele, Antonio Curcio, Salvatore De Rosa
Local complications at the radial access site are not frequent, hence its large diffusion as the preferred access route for endovascular procedures. However, in a time of fast widespreading, better comprehension of all potential complications becomes critical to facilitate their early recognition and the most appropriate treatment. In this case report, we present for the first time a case of sudden massive bleeding at the left wrist, due to spontaneous gross rupture of the left radial artery bleeding 15 days after an endovascular procedure through a left radial arterial access...
March 2015: Medicine (Baltimore)
M Temam, O Abadie, A Chetboun, W Mamane
Over 1,400,000 cases of hand trauma are identified each year in France, with a large proportion with open wounds, accounting for significant activity in orthopedic surgery emergency units. It is customary to focus on nerve or tendon injuries as a priority. However, even partial vascular lesions may be complicated by a false aneurysm. We report the case of a false aneurysm of the palmar branch of the radial artery in 25-year-old man, 6 months after a non-treated puncture wound of the thenar eminence. Surgery was undertaken because of increased volume and discomfort on gripping...
February 2015: Journal des Maladies Vasculaires
Jan Fritz, David T Efron, Elliot K Fishman
Successful management of upper extremity arterial injury requires fast and accurate diagnosis. The rate of limb preservation depends on the location, severity, and time of ischemia. Indications for diagnostic imaging depend on the mechanism and type of injury, clinical signs, cardiovascular stability, and clinical suspicion. Because of ease of access, speed, and high accuracy for this diagnosis, multidetector computed tomographic (MDCT) angiography is often used as the first line imaging modality. MDCT systems with 64 slice configuration and more afford high temporal and spatial high-resolution, isotropic data acquisition and integration with whole-body trauma MDCT protocols...
June 2015: Emergency Radiology
Gillian Dryton, Keith B Allen, A Michael Borkon, Sanjeev Aggarwal, J Russell Davis
Radial artery pseudoaneurysms occur infrequently and are most commonly associated with medical interventions such as arterial lines or cardiac catheterization procedures. Animal bites, particularly cat bites, as a cause for radial artery pseudoaneurysms are extremely rare with only 1 previously reported case in the literature. A unique case of digital micro emboli from a radial artery pseudoaneurysm caused by a cat bite to the wrist is presented.
February 2015: Annals of Vascular Surgery
Shrenik Vora, Thowfique Ibrahim, Victor Samuel Rajadurai
BACKGROUND: Pseudoaneurysm formation is a rare complication of arterial puncture. CASE CHARACTERISTICS: 3-week-old male developed an enlarging mass over the anterior aspect of left wrist following radial arterial puncture. OBSERVATION: Doppler ultrasonography revealed mass to be left radial arterial pseudoaneurysm. Subsequent presentation of ecchymoses and investigations confirmed factor VIII deficiency (Hemophilia A). OUTCOME: Pseudoaneurysm removed with primary end to end anastomosis...
November 2014: Indian Pediatrics
Hossein Nough, Mostafa Bagherinasab, Mahmood Emami, Mohammadtaghi Sarebanhassanabadi, Leila Hadiani
Aneurysm can develop in all arteries of the human body. Pseudoaneurysm induced by trauma is known as a rare condition in peripheral arteries. This complication is known as late sequelae of trauma. The incidence of pseudoaneurysm in upper extremities artery is less than lower extremities. Atherosclerotic aneurysms are often seen in large arteries and by aging, but pseudoaneurysm can be seen in penetrating or blunt trauma in patients of every age or every location. Delayed treatment of pseudoaneurysm leads to bleeding, venous edema at the extremities and compression on the adjacent nerve as a result of pseudoaneurysm enlargement...
2014: Acta Medica Iranica
Lin Chen, Feng Peng, Tao Wang, Desong Chen, Jianyun Yang
Traumatic pseudoaneurysm of the axillary artery combined with brachial plexus injury is extremely rare. The factors that influence the symptoms and functional recovery related to this condition are unclear. Nine patients who had sustained this trauma were surgically treated at our unit between June 1999 and November 2010. The cause of trauma, symptoms, signs and examinations of neurological and vascular deficits, and the surgical findings of the involved nerves and vessels were recorded in detail. The functional recovery of vessels and nerves, as well as the extent of pain, were evaluated, respectively...
2014: PloS One
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