Central Vascular Complications Following Elective Catheterization Using Transradial Percutaneous Coronary Intervention

Percutaneous coronary intervention is commonly used to treat coronary artery disease. Both transradial and transfemoral approaches are applied. In general, fewer complications are seen with the transradial approach compared to the transfemoral access, for which reason the transradial catheterization...

Full description

Saved in:
Bibliographic Details
Main Authors: Julia Merkle MD (Author), Christopher Hohmann MD (Author), Anton Sabashnikov MD, PhD (Author), Thorsten Wahlers MD, PhD (Author), Jens Wippermann MD, PhD (Author)
Format: Book
Published: SAGE Publishing, 2017-03-01T00:00:00Z.
Subjects:
Online Access:Connect to this object online.
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Percutaneous coronary intervention is commonly used to treat coronary artery disease. Both transradial and transfemoral approaches are applied. In general, fewer complications are seen with the transradial approach compared to the transfemoral access, for which reason the transradial catheterization is frequently preferred. In this case presentation, we describe 2 cases of elective transradial coronary angiography both resulting in severe central vascular complications: perforation of the right subclavian artery with a mediastinal hematoma and dissection of the brachio-cephalic trunk and the aortic arch. Although the transradial access is generally considered safe, severe complications such as artery dissection or perforation can occur even in cases of elective procedures.
Item Description:2324-7096
10.1177/2324709617698717