Journal of Medical Case Reports (Sep 2019)

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

  • Lingling Wu,
  • Faris Haddadin,
  • Joshua Berookhim,
  • Justin Ratcliffe,
  • Joseph Puma

DOI
https://doi.org/10.1186/s13256-019-2205-6
Journal volume & issue
Vol. 13, no. 1
pp. 1 – 5

Abstract

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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.

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