Multiple radial artery pseudoaneurysms including an unrelated site of arterial catheterization after transradial coronary intervention: a case report

TL;DR

A 66-year-old man developed two radial artery pseudoaneurysms after a heart procedure, requiring surgical removal after other treatments failed.

Contribution

This case report highlights the rare occurrence of multiple unrelated radial artery pseudoaneurysms after transradial coronary intervention.

Findings

CT scan identified two distinct radial artery pseudoaneurysms in the patient.

Endovascular treatment with a covered stent failed, necessitating surgical excision.

The case emphasizes the need for careful management of post-procedural complications.

Abstract

Radial artery pseudoaneurysm (RAP) is a rare iatrogenic complication associated with percutaneous radial artery catheterization. However, RAP has become more common with the increased use of transradial coronary intervention. RAP has a diverse range of treatment strategies—from conservative management to endovascular treatment and surgery. We report on the case of a 66-year-old male patient with a 1-month prior history of transradial coronary intervention. A computed tomography (CT) scan was performed to evaluate pain, swelling and palpable masses on right forearm. The results of this CT revealed two discrete RAPs. Surgery was performed for complete excision of the RAPs after percutaneous endovascular exclusion using covered stent failed.

Figures