Complications

Journal Club

Article Highlight: “Hand Dysfunction After Transradial Artery Catheterization for Coronary Procedures”

03/03/2019

Marshall W. Ritchey, MS, MBA, RCIS, CPFT, CET, Cardiology Consultant

Marshall W. Ritchey, MS, MBA, RCIS, C...

Complications are uncomfortable and scary for our patients. Now is the time to focus on how to avoid radial artery complications in the future, and how to quickly respond and treat complications appropriately when they do occur.

Complications are uncomfortable...

03/03/2019

Cath Lab Digest

Editor's Corner

Your Wire Went Where? Coronary Perforation With Tamponade and What to Do Next

02/28/2019

Morton J. Kern, MD and Arnold H. Seto, MD, MPA

Dr. Seto is Chief, Cardiology, Long Beach VA Medical Center, Long Beach, California.

Morton J. Kern, MD and Arnold H. Seto...

A coronary perforation is a rare but frightening event in the cardiac cath lab.

A coronary perforation is a rare...

02/28/2019

Cath Lab Digest

Radial Images

Commentary: Hematomas, Compartment Syndrome, and Boney Infarcts: Potential Melancholy for Dorsal Radial Access?

01/31/2019

Ian C. Gilchrist, MD

Koutouzis et al(1) offer one of the first reports in a journal of hematoma encountered after dorsal radial access, although several other reports of hematoma and even pseudoaneurysm(2) have already appeared on social media.

Koutouzis et al(1) offer one of...

01/31/2019

Cath Lab Digest

Radial Images

Hand Hematoma After Cardiac Catheterization Via Distal Radial Artery

01/31/2019

Michael Koutouzis, MD; Eleftherios Kontopodis, MD; Andreas Tassopoulos, MD; Ioannis Tsiafoutis, MD; Efstathios Lazaris, MD

Michael Koutouzis, MD; Eleftherios K...

This is the first reported case of severe hand hematoma after cardiac catheterization through the distal radial artery, with the hematoma extending distally to the sheath insertion site.

This is the first reported case...

01/31/2019

Cath Lab Digest

Case Report

Use of Excimer Laser to Facilitate CTO Crossing Complicated by Stent Fracture

11/27/2018

Kyle Macdonald, BS, Kirk Minkus, MD, Charles Jost, MD, MS,

Mountain Vista Medical Center, Mesa, Arizona

Kyle Macdonald, BS, Kirk Minkus, MD, ...

Here, we will discuss the use of excimer laser coronary atherectomy (ELCA) for an uncrossable obstruction due to stent fracture and in-stent restenosis (ISR).

Here, we will discuss the use of...

11/27/2018

Cath Lab Digest

Clinical Images

Single Leaflet Device Attachment Complicating Percutaneous Edge-to-Edge Repair of the Tricuspid Valve Using the MitraClip

10/07/2018

Chak-Yu So, MBChB; Kun-Chong Tam, MD; Yat-Yin Lam, MD; Alex Pui-Wai Lee, MD

Chak-Yu So, MBChB; Kun-Chong Tam, MD...

We demonstrate that immediate deployment of one or more adjacent clips, particularly to the remaining attached leaflet, may stabilize the flailing clip and be a possible transcatheter treatment option for single leaflet device attachment...

We demonstrate that immediate...

10/07/2018

Cath Lab Digest

Case Report

Aorta to RV Fistula: A Rare Complication of TAVR

10/03/2018

Shivani Verma, MD, MPH, Parul Kakar, MD, Norbert Moskovits, MD, Jacob Shani, MD, Robert Frankel, MD

Department of Cardiology, Maimonides Medical Center, Brooklyn, New York

Shivani Verma, MD, MPH, Parul Kakar, ...

Our case illustrates a rare complication of an aorto-RV fistula that did not require repair.

Our case illustrates a rare...

10/03/2018

Cath Lab Digest

Clinical Images

Compartment Syndrome: A Rare and Frightening Complication of Transradial Catheterization

09/25/2018

Ioannis Tsiafoutis, MD; Konstantina Katsanou, MD; Michael Koutouzis, MD; Theodoros Zografos, MD, PhD

Ioannis Tsiafoutis, MD; Konstantina ...

The compartment syndrome is a severe complication of transradial approach and can be prevented by prompt treatment of forearm hematoma; otherwise, fasciotomies are urgent.

The compartment syndrome is a...

09/25/2018

Journal of Invasive Cardiology

Original Contribution

Should Technical and Anatomical Difficulties Discourage Operators From Embarking on Transradial Access for Percutaneous Coronary Intervention?

07/15/2018

Sandeep Basavarajaiah, MD, MRCP^1,2; Adam Brown, PhD, MRCP²; Toru Naganuma, MD³; Parag Gajendragadkar MD, MRCP²; Liam McCormick, MD, MRCP²; Nick West, PhD, FRCP²

Sandeep Basavarajaiah, MD, MRCP1,2; ...

We aimed to define the frequency of anatomic variants and success rates during transradial access for PCI. These data provide reassurance for would-be radial converts that the learning curve may not be as steep as envisaged.

We aimed to define the frequency...

07/15/2018

Journal of Invasive Cardiology

Case Report

Successful Percutaneous Retrieval of a Leadless Pacemaker From the Pulmonary Artery

07/08/2018

Vijaykumar S. Kasi¹, MD, PhD, Jennifer Kinaga², MD, David Bello¹, MD

Vijaykumar S. Kasi1, MD, PhD, Jennife...

We report a case of a leadless pacemaker embolization to the pulmonary artery and the potential difficulties with successful retrieval. Combining the theorized retrieval instructions with the experience of this case, we propose a retrieval...

We report a case of a leadless...

07/08/2018

Cath Lab Digest