Cor Vasa 2023, 65(1):104-106 | DOI: 10.33678/cor.2022.042

(Pseudoaneurysm of radial artery as a complication of selective coronary catheterization)

Josef Laštůvka, Martin Porzer, Marian Branny, Leoš Pleva, Jan Mrózek, Pavel Kukla, Tomáš Grézl

Oddělení kardiovaskulární, Interní a Kardiologická klinika, Fakultní nemocnice Ostrava, Ostrava

Selective coronary angiography is a routine examination with a low risk of serious complications.¹ In recent years, with regards to minimizing the risk of local complications and comfort of the patient, the transradial access has been used as the dominant approach. Among the local complications of this approach the most frequent are spasm, radial artery occlusion (ORA), and non-occlusive damage. In rare cases, it is a vessel perforation, pseudoaneurysm, AV fistula, nerve damage, thromboembolization or major bleeding.^2,3 In our case study, we want to show an example where, after several years, a pseudoaneurysm of the radial artery occurred accidentally, as an iatrogenic complication after a previous invasive catheterization examination. Majority of these vascular complications are oligo- to asymptomatic, but can be also potentially risky. Therefore, it is still necessary to pay attention to a clear indication of an invasive catheterization examination and the necessity that benefit for the patient outweighs the possible risks.

Keywords: Arteria radialis, Local complication, Selective coronary angiography, Transradial acces

Received: March 16, 2022; Revised: April 18, 2022; Accepted: April 20, 2022; Published: March 1, 2023  Show citation