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...
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Online Access: | https://doi.org/10.1177/2324709617698717 |
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doaj-1a9eb95e1b00477d8a74fb121f40192f2020-11-25T02:59:52ZengSAGE PublishingJournal of Investigative Medicine High Impact Case Reports2324-70962017-03-01510.1177/232470961769871710.1177_2324709617698717Central Vascular Complications Following Elective Catheterization Using Transradial Percutaneous Coronary InterventionJulia Merkle MD0Christopher Hohmann MD1Anton Sabashnikov MD, PhD2Thorsten Wahlers MD, PhD3Jens Wippermann MD, PhD4Department of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, GermanyDepartment of Cardiology, Heart Center, University Hospital of Cologne, Cologne, GermanyDepartment of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, GermanyDepartment of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, GermanyDepartment of Cardiothoracic Surgery, Heart Center, University Hospital of Cologne, Cologne, GermanyPercutaneous 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.https://doi.org/10.1177/2324709617698717 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Julia Merkle MD Christopher Hohmann MD Anton Sabashnikov MD, PhD Thorsten Wahlers MD, PhD Jens Wippermann MD, PhD |
spellingShingle |
Julia Merkle MD Christopher Hohmann MD Anton Sabashnikov MD, PhD Thorsten Wahlers MD, PhD Jens Wippermann MD, PhD Central Vascular Complications Following Elective Catheterization Using Transradial Percutaneous Coronary Intervention Journal of Investigative Medicine High Impact Case Reports |
author_facet |
Julia Merkle MD Christopher Hohmann MD Anton Sabashnikov MD, PhD Thorsten Wahlers MD, PhD Jens Wippermann MD, PhD |
author_sort |
Julia Merkle MD |
title |
Central Vascular Complications Following Elective Catheterization Using Transradial Percutaneous Coronary Intervention |
title_short |
Central Vascular Complications Following Elective Catheterization Using Transradial Percutaneous Coronary Intervention |
title_full |
Central Vascular Complications Following Elective Catheterization Using Transradial Percutaneous Coronary Intervention |
title_fullStr |
Central Vascular Complications Following Elective Catheterization Using Transradial Percutaneous Coronary Intervention |
title_full_unstemmed |
Central Vascular Complications Following Elective Catheterization Using Transradial Percutaneous Coronary Intervention |
title_sort |
central vascular complications following elective catheterization using transradial percutaneous coronary intervention |
publisher |
SAGE Publishing |
series |
Journal of Investigative Medicine High Impact Case Reports |
issn |
2324-7096 |
publishDate |
2017-03-01 |
description |
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. |
url |
https://doi.org/10.1177/2324709617698717 |
work_keys_str_mv |
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