Radial Artery Pseudoaneurysm Following Percutaneous Coronary Intervention

J INVASIVE CARDIOL 2021;33(5):E406. doi:10.25270/jic/20.00272

Key words: transradial access, transradial complications, TRA

A 53-year-old male patient presented with 2-month history of small, painless, non-progressive swelling at the right wrist. He had undergone transradial primary percutaneous coronary intervention to the right coronary artery 3 months prior. A 6 Fr radial sheath was inserted after 2 puncture attempts. He was administered a glycoprotein IIb/IIIa inhibitor, tirofiban, for the thrombotic occlusion of the right coronary artery and discharged on aspirin 150 mg, clopidogrel 75 mg, rosuvastatin 40 mg, and a beta-blocker. On examination, small, painless, pulsatile swelling was present at the right wrist. A possibility of radial artery pseudoaneurysm was confirmed on computed tomography scan, which revealed a pseudoaneurysm emanating from the right radial artery (Figure 1A). After failed manual and ultrasound-guided compression, thrombin was injected under ultrasound guidance, resulting in complete resolution and palpable radial artery up to 6-month follow-up (Figure 1B).

From the ¹Advanced Cardiac Center, PGIMER, Chandigarh, India; and ²VMMC and Safdarjung Hospital, New Delhi, India. 

Disclosure: The authors have completed and returned the ICMJE Form for Disclosure of Potential Conflicts of Interest. The authors report no conflicts of interest regarding the content herein.

The authors report that patient consent was provided for publication of the images used herein.

Manuscript accepted May 12, 2020.

Address for correspondence: Sourabh Agstam, MD, DM, Assistant Professor, Department of Cardiology, VMMC and Safdarjung Hospital, New Delhi, India 110029. Email: sourabhagstam@gmail.com