Percutaneous Repair of Radial Artery Pseudoaneurysm - Case Study
A 61-year-old male with a history of diabetes, hypertension, and coronary artery disease presented with abnormal body movements suggestive of seizures. Following admission and neurology evaluation, a radial artery pseudoaneurysm was incidentally discovered. Percutaneous transluminal angioplasty (PTA) with stent placement was successfully performed to repair the pseudoaneurysm. The procedure was uncomplicated, resulting in good flow and outcomes, allowing the patient to be discharged for regular follow-up.
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Percutaneous Repair of Radial Artery Pseudo Aneurysm Dr. Nikhil Mahajan , SMVDN Superspeciality Hospital, Katra( India)
History:- Patient SS 61 Years/Male DM, HTN Known case of CAD and undergone PTCA one month back via right Radial route and Patient was on follow-up . Patient came to hospital with abnormal body movements jerking of head and arm with no loss of consciousness . The episodes last few minutes and patient gets relief on his own. Patient has come to hospital for further management.
History :- Patient was admitted with above mentioned complaints under neurology and started on IV anti seizure medications. CT scan head showed Gliosis in Right Femoral lobe, insular region and left occipital lobe possibly a sequelae of old infract. The patient did not have any seizure during his stay in the hospital and his anti seizure medications was changed to oral. Incidentally he was found to have a round tense swelling on palmar aspect of right wrist on radial side about 2x2 cm. CT scan of arms was done which showed findings consistent with partially thrombosed pseudo aneurysm in relation to distal right artery with compression of artery. After getting written informed consent patient was taken to cath lab & PTA was done with stent placement to Right Radial Artery at the side of pseudo aneursyn formation .
Procedure Right radial artery was hooked with IMAx6Fr. guiding catheter. Right Radial Artery pseudo aneurysm was crossed with Whisper Guidewire; Graftmaster 2.8x19mm was deployed up to 16-18atm. Results:- No dissection or thrombus with TIMI III flow . Good results & No Complications. Patient discharged from hospital and on regular follow-up.
