Vol 14, No 5 (2018):233-235

Pulsating mass following plain old balloon angioplasty on left anterior descending artery (LAD) via radial access

Mostafa Ahmadi, Ramin Khamene-Bagheri, Reza Jafarzadeh-Esfehani



DOI: http://dx.doi.org/10.22122/arya.v14i5.1718

Abstract


BACKGROUND: Trans-radial coronary intervention is a popular technique due to patient comfort and lower complication rate. The main complications of this method are artery spasm, vessel perforation, and formation of pseudo-aneurysm.

CASE REPORT: In this report, an unusual complication of radial access angiography was encountered. Shortly after the procedure, the patient’s right arm began to swell and a pulsating mass grew over the medial aspect of the arm. Right brachial artery angiography was performed immediately for rolling out brachial artery perforation. There was no evidence of extravasation in brachial angiography. Surprisingly, the mass began to disappear after some active flexion and extension at elbow joint. The same problem occurred again after percutaneous coronary intervention (PCI) on left anterior descending artery (LAD) in this case 2 days later and was resolved by the same maneuver.

CONCLUSION: It can be conculded that the brachial artery path was shifted and became entrapped after the procedure due to low soft tissue support.


Keywords


Balloon Angioplasty; Percutaneous Coronary Intervention; Brachial Artery

Full Text:

PDF

References


Yoo BS, Yoon J, Ko JY, Kim JY, Lee SH, Hwang SO, et al. Anatomical consideration of the radial artery for transradial coronary procedures: Arterial diameter, branching anomaly and vessel tortuosity. Int J Cardiol 2005; 101(3): 421-7.

Caputo RP, Tremmel JA, Rao S, Gilchrist IC, Pyne C, Pancholy S, et al. Transradial arterial access for coronary and peripheral procedures: Executive summary by the Transradial Committee of the SCAI. Catheter Cardiovasc Interv 2011; 78(6): 823-39.

Chugh SK, Chugh Y, Chugh S. How to tackle complications in radial procedures: Tip and tricks. Indian Heart J 2015; 67(3): 275-81.

Andrade PB, Tebet MA, Andrade MV, Labrunie A, Mattos LA. Radial approach in percutaneous coronary interventions: Current status in Brazil. Arq Bras Cardiol 2011; 96(4): 312-6.

Gheno R, Zoner CS, Buck FM, Nico MA, Haghighi P, Trudell DJ, et al. Accessory head of biceps brachii muscle: Anatomy, histology, and MRI in cadavers. AJR Am J Roentgenol 2010; 194(1): W80-W83.

Paraskevas G, Natsis K, Ioannidis O, Papaziogas B, Kitsoulis P, Spanidou S. Accessory muscles in the lower part of the anterior compartment of the arm that may entrap neurovascular elements. Clin Anat 2008; 21(3): 246-51.

Meda N, Verma H, Tripathi RK. Ischemic brachial artery entrapment syndrome by supracondylar humeral bony spur. J Vasc Surg Cases 2015; 1(2): 116-9.


Refbacks

  • There are currently no refbacks.


Creative Commons Attribution-NonCommercial 4.0

This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 Unported License which allows users to read, copy, distribute and make derivative works for non-commercial purposes from the material, as long as the author of the original work is cited properly.