Jornal Vascular Brasileiro
https://jvascbras.org/article/doi/10.1590/1677-5449.202102122
Jornal Vascular Brasileiro
Case Report

Prolonged Doppler US-guided pneumatic compression of a radial artery pseudoaneurysm after percutaneous coronary intervention: a simple and effective solution for a rare and challenging problem

Compressão pneumática prolongada e guiada por ultrassom de um pseudoaneurisma da artéria radial após intervenção coronariana percutânea: solução simples e eficaz para um problema raro e desafiador

Marcos Danillo Oliveira; Pedro Perillo; Lélio Lemos Neto; Adriano Caixeta

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Abstract

Transradial access is associated with fewer access site-related complications, earlier patient mobilization, and greater postprocedural comfort. Pseudoaneurysms are an extremely rare complication after transradial procedures and the radial artery itself is the most atypical arterial site of occurrence. We report a case in which a non-surgical, non-invasive, simple, and effective solution (prolonged pneumatic compression) was used to manage a radial artery pseudoaneurysm, a very rare and challenging complication of transradial procedures.

Supplementary material:

Video 1
Video 2 

Keywords

transradial access, complications, pseudoaneurysm, management, pneumatic compression

Resumo

O acesso arterial transradial está associado a menos complicações relacionadas ao sítio de punção, com deambulação precoce do paciente e maior conforto pós-procedimento. O pseudoaneurisma é uma complicação extremamente rara após procedimentos transradiais, sendo a artéria radial, por si só, o sítio mais incomum para tal ocorrência. Relata-se um caso de um pseudoaneurisma de artéria radial, uma complicação rara e desafiadora, resolvido com êxito e de maneira simples, não invasiva e não cirúrgica (compressão pneumática prolongada).

Material suplementar: 

Vídeo 1
Vídeo 2

Palavras-chave

acesso arterial transradial, complicações, pseudoaneurisma, manejo, compressão pneumática

References

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Submitted date:
01/25/2022

Accepted date:
06/02/2022

Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)"> Sociedade Brasileira de Angiologia e Cirurgia Vascular (SBACV)">
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