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Gepubliceerd in: Netherlands Heart Journal 2/2022

Open Access 01-06-2021 | Heart Beat

Pseudoaneurysm of radial artery after heart catheterisation

Auteurs: T. H. Pinxterhuis, S. H. Hofma, C. A. da Fonseca

Gepubliceerd in: Netherlands Heart Journal | Uitgave 2/2022

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A 71-year-old male underwent an elective percutaneous coronary intervention with a 5-French radial artery sheath. Hours after the procedure, he developed a painful swelling at the insertion point of the sheath. Echography showed a pseudoaneurysm of the right radial artery (Fig. 1). Thrombin injection was deemed impossible because of the short neck of the aneurysm and therefore surgical excision was performed.
Pseudoaneurysm is a known complication of arterial catheterisation. The incidence of pseudoaneurysm after femoral artery catheterisation is 0.2%–3% [1]. Risk factors are obesity, multiple vessel punctures, local vessel sclerosis, hypertension and diabetes mellitus [2]. Therapeutic options include conservative treatment, thrombin injection and surgery. Surgical intervention depends on the presence of pain, size, growth, limb ischaemia, infection and nerve compression. Pseudoaneurysm of the radial artery is extremely rare (incidence 0.009%) [3]. More than 50% of patients with a pseudoaneurysm undergo a surgical intervention [3].

Conflict of interest

T.H. Pinxterhuis, S.H. Hofma and C.A. da Fonseca declare that they have no competing interests.
Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://​creativecommons.​org/​licenses/​by/​4.​0/​.
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Literatuur
1.
go back to reference Stone PA, Campbell JE, AbuRahma AF. Femoral pseudoaneurysms after percutaneous access. J Vasc Surg. 2014;60:1359–66. CrossRef Stone PA, Campbell JE, AbuRahma AF. Femoral pseudoaneurysms after percutaneous access. J Vasc Surg. 2014;60:1359–66. CrossRef
2.
go back to reference Trubel W, Staudacher M, Magometschnigg H, Wolner E. Aneurysma spurium after iatrogenic arterial puncture-incidence, risk factors and surgical therapy. Wien Klin Wochenschr. 1993;105:139–43. PubMed Trubel W, Staudacher M, Magometschnigg H, Wolner E. Aneurysma spurium after iatrogenic arterial puncture-incidence, risk factors and surgical therapy. Wien Klin Wochenschr. 1993;105:139–43. PubMed
3.
go back to reference Tosti R, Ozkan S, Schainfeld RM, Eberlin KR. Radial artery pseudoaneurysm. J Hand Surg Am. 2017;42:295.e1–295.e6. CrossRef Tosti R, Ozkan S, Schainfeld RM, Eberlin KR. Radial artery pseudoaneurysm. J Hand Surg Am. 2017;42:295.e1–295.e6. CrossRef
Metagegevens
Titel
Pseudoaneurysm of radial artery after heart catheterisation
Auteurs
T. H. Pinxterhuis
S. H. Hofma
C. A. da Fonseca
Publicatiedatum
01-06-2021
Uitgeverij
Bohn Stafleu van Loghum
Gepubliceerd in
Netherlands Heart Journal / Uitgave 2/2022
Print ISSN: 1568-5888
Elektronisch ISSN: 1876-6250
DOI
https://doi.org/10.1007/s12471-021-01586-3