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Management of Pseudoaneurysm After Distal Transradial Coronary Intervention

Marcos Danillo P. Oliveira, MD;  Glenda Alves de Sá, MD;  Ednelson C. Navarro, MD;  Adriano Caixeta, MD, PhD

09/30/2021

Introduction

Video supplement to “Pseudoaneurysm After Distal Transradial Coronary Intervention Successfully Managed by Prolonged Pneumatic Compression: Simple Solution for a Rare and Challenging Problem,” by Oliveira et al. (October 2021 Clinical Images).

A 75-year-old woman underwent left anterior descending artery was successfully treated by percutaneous coronary intervention with stenting. A TR band was left in situ for 60 minutes and completely removed after 2 hours, without bleeding. Proximal and distal radial pulses were palpable after hemostasis and at hospital discharge, 24 hours later, uneventfully. Six days after, she noticed subtle and rapidly progressive wrist, hand and fingers swelling, with pain, ecchymosis, and movement limitation. The following imaging series demonstrates the diagnosis and successful treatment of hers pseudoaneurysm.

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