Development and treatment of two distinct pseudoaneurysms following transradial coronary catheterization in a patient with high bleeding risk: a case report

J Med Case Rep. 2019 Sep 8;13(1):282. doi: 10.1186/s13256-019-2205-6.

Abstract

Background: A pseudoaneurysm is a rare but serious complication after transradial coronary catheterization. Although different treatment modalities have been proposed to treat post-catheterization pseudoaneurysm, only limited data are available to guide the treatment approach.

Case presentation: We report a rare case of two distinct pseudoaneurysms complicating transradial percutaneous coronary intervention in a 75-year-old Hispanic woman being treated with dual antiplatelet agents for myocardial infarction and warfarin for atrial fibrillation. The pseudoaneurysms were diagnosed with ultrasound and were successfully treated with a series of Terumo Corporation (TR) band compressions.

Conclusions: This case demonstrates the efficacy of compression therapy in managing post-catheterization radial artery pseudoaneurysm in patients with high bleeding risk.

Keywords: Complication; Compression; Coronary artery disease; Intervention; Pseudoaneurysm.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Aneurysm, False / diagnostic imaging*
  • Atrial Fibrillation / drug therapy
  • Cardiac Catheterization / adverse effects*
  • Dual Anti-Platelet Therapy
  • Female
  • Humans
  • Myocardial Infarction / drug therapy
  • Percutaneous Coronary Intervention
  • Radial Artery / diagnostic imaging*
  • Ultrasonography, Doppler, Duplex