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Catheter Cardiovasc Interv ; 89(3): 393-398, 2017 Feb 15.
Article in English | MEDLINE | ID: mdl-27527608

ABSTRACT

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. © 2016 The Authors. Catheterization and Cardiovascular Interventions Published by Wiley Periodicals, Inc.


Subject(s)
Aneurysm, False/therapy , Cardiac Catheterization , Catheterization, Peripheral/adverse effects , Coronary Angiography , Coronary Stenosis/diagnostic imaging , Endovascular Procedures , Radial Artery/injuries , Vascular System Injuries/therapy , Aged , Aneurysm, False/diagnostic imaging , Aneurysm, False/etiology , Aneurysm, False/physiopathology , Cardiac Catheterization/methods , Catheterization, Peripheral/methods , Coronary Angiography/methods , Coronary Stenosis/therapy , Humans , Male , Percutaneous Coronary Intervention , Punctures , Radial Artery/diagnostic imaging , Radial Artery/physiopathology , Treatment Outcome , Ultrasonography, Doppler, Duplex , Vascular Patency , Vascular System Injuries/diagnostic imaging , Vascular System Injuries/etiology , Vascular System Injuries/physiopathology
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