Occlusion of right coronary artery by microembolization caused by excessive diagnostic catheter manipulation (original) (raw)
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Complications of Transradial Cardiac Catheterization and Management
Interventional Cardiology Clinics, 2015
The transradial approach has become increasingly popular owing to decreased access site complications and length of hospital stay, and increased patient satisfaction. Complications are unique; common complications include radial artery occlusion and radial artery spasm. Less common complications include forearm hematoma and compartment syndrome, radial artery perforation, arteriovenous fistula formation, nerve damage, granuloma formation, and catheter entrapment. Recognition of these complications as well as preventive measures and management options are crucial to achieve procedural success. RADIAL ARTERY OCCLUSION Radial artery occlusion (RAO) is a wellrecognized complication of transradial catheterization with variable reported incidence rates of anywhere from 1% to 38%. 8-10 Endothelial injury from sheath insertion and cessation of radial The authors have nothing to disclose.
Purpose. To report the resolution of bradycardia encountered during transradial cardiac catheterization through the catheter pullback technique in two cases. Case Report. A 62-year-old male and an 81-year-old male underwent coronary angiogram to evaluate for coronary artery disease and as a result of positive stress test, respectively. Upon engagement of the FL 3.5 catheter into the ascending aorta through the transradial approach, the first case developed bradycardia with a heart rate of 39 beats per minute. The second case developed profound bradycardia with a heart rate of 25 beats per minute upon insertion of the 5 Fr FL 3.5 catheter near the right brachiocephalic trunk through the right radial access. Conclusion. Bradycardia can be subsided by removal of the catheter during catheter manipulation in patients undergoing transradial coronary angiogram if there is a suspicion of excessive stretching of aortic arch receptors and/or carotid sinus receptors.
Current complications of diagnostic and therapeutic cardiac catheterization
Journal of the American College of Cardiology, 1988
Data from 2,883 cardiac catheterizations performed during an 18 month period (from July 1986 through December 1987) were analyzed to assess the current complication profile of diagnostic and therapeutic procedures. Procedures performed during the study period included 1,609 diagnostic catheterizations, 933 percutaneous transluminal coronary angioplasties and 199 percutaneous balloon valvuloplasties. Overall, the mortality rate was 0.28% but ranged from 0.12% for diagnostic catheterizations to 0.3% for coronary angioplasty and 1.5% for balloon valvuloplasty. Emergency cardiac surgery was required in 12 angioplasty patients (1.2 %). Cardiac perforation occurred in seven patients (0.2%), of whom six were undergoing valvulo-From the Charles A.
Unusual Complications of Cardiac Catheterization Via the Radial Artery
Revista Española de Cardiología (English Edition), 2005
El uso de la vía transradial para el cateterismo cardíaco ha reducido drásticamente la incidencia y la gravedad de las complicaciones relacionadas con el acceso. No obstante, en ocasiones se producen complicaciones inusuales o cuya respuesta al tratamiento es atípica.
Case Reports in Vascular Medicine, 2017
Purpose. To report the resolution of bradycardia encountered during transradial cardiac catheterization through the catheter pullback technique in two cases. Case Report. A 62-year-old male and an 81-year-old male underwent coronary angiogram to evaluate for coronary artery disease and as a result of positive stress test, respectively. Upon engagement of the FL 3.5 catheter into the ascending aorta through the transradial approach, the first case developed bradycardia with a heart rate of 39 beats per minute. The second case developed profound bradycardia with a heart rate of 25 beats per minute upon insertion of the 5 Fr FL 3.5 catheter near the right brachiocephalic trunk through the right radial access. Conclusion. Bradycardia can be subsided by removal of the catheter during catheter manipulation in patients undergoing transradial coronary angiogram if there is a suspicion of excessive stretching of aortic arch receptors and/or carotid sinus receptors.
Incidence and Predictors of Radial Artery Occlusion Associated Transradial Catheterization
International Journal of Medical Sciences, 2000
In this study, we sought to assess the incidence and predictors of radial artery occlusion (RAO), which is a significant complication of transradial cardiac catheterization. We prospectively evaluated the results of 106 patients who underwent coronary angiography and percutaneous coronary intervention (PCI) via the transradial approach (TRA). At the 3 rd h of intervention, the radial artery was checked by palpation; color doppler ultrasonography was performed at the 24 th h. Fluoroscopy duration, procedure success, and complications of the radial artery were recorded. The procedure was successfully completed in all patients. RAO was detected in eight female and two male patients. In terms of RAO, there was a statistically significant difference between males and females (p=0.019). Other parameters did not show a significant correlation with RAO. Altough did not have any effect on procedural success, eight patients developed transient radial artery spasm. Gender was not associated with radial arterial spasms (p=0.19). TRA in the diagnosis and treatment of coronary artery disease has shown high procedural success and low complication rates; it addition, it presents a low economic burden. It should be used widely and be involved in the routine cardiology residency program.
Journal of Case Reports, 2020
Background: Catheter-induced left main coronary artery (LMCA) dissection, though quite rare, is one of the most dreaded and life-threatening complication of coronary intervention and requires urgent management because if not promptly diagnosed and treated with myocardial revascularization, it can have fatal consequences. Case Report: Here, we report a case iatrogenic dissection of left main coronary artery by vigorous manipulation of extra backup (EBU) guiding catheter in a 73-year old male during revascularization of proximal left anterior descending artery which was successfully bailed out by stenting of left main artery using 4×23 mm Xience Prime everolimus eluting stent (Abott Vascular; USA) at 12 atm pressure achieving complete sealing of flap with TIMI III flow. Conclusion: Coronary artery dissection can be precipitated by catheter manipulation.