Radial Artery Pseudoaneurysm Complicating Distal Transradial Access for Chronic Total Occlusion Recanalization

Mauro Gitto; Stefano Brizzi; Ottavia Cozzi; Aisha Gohar; Matteo Maurina; Paolo Spada; Antonio Mangieri; Bernhard Reimers; Gabriele Luigi Gasparini; Damiano Regazzoli

doi:10.1016/j.carrev.2022.02.019

Radial Artery Pseudoaneurysm Complicating Distal Transradial Access for Chronic Total Occlusion Recanalization

Cardiovasc Revasc Med. 2022 Jul:40S:279-281. doi: 10.1016/j.carrev.2022.02.019. Epub 2022 Feb 24.

Affiliations

¹ Department of Biomedical Sciences, Humanitas University, Pieve Emanuele-Milan, Italy; Humanitas Research Hospital IRCCS, Rozzano-Milan, Italy.
² Humanitas Research Hospital IRCCS, Rozzano-Milan, Italy.
³ Humanitas Research Hospital IRCCS, Rozzano-Milan, Italy. Electronic address: damiano.regazzoli@gmail.com.

PMID: 35227631
DOI: 10.1016/j.carrev.2022.02.019

Abstract

We report a case of a distal radial access (dRA) pseudoaneurysm complicating a chronic total occlusion (CTO) percutaneous coronary intervention (PCI). After hospital discharge, the patient developed progressive pain and swelling at the access site and ultrasound revealed a distal radial artery pseudoaneurysm. This completely resolved conservatively with manual compression. This case highlights a potential vascular complication of the recently introduced dRA with its conservative management.

Keywords: Chronic total occlusions; Distal radial access; Pseudoaneurysm.

Publication types

Case Reports

MeSH terms

Aneurysm, False* / diagnostic imaging
Aneurysm, False* / etiology
Aneurysm, False* / therapy
Coronary Angiography
Coronary Occlusion* / diagnostic imaging
Coronary Occlusion* / therapy
Humans
Percutaneous Coronary Intervention* / adverse effects
Radial Artery / diagnostic imaging
Treatment Outcome