Radial Artery Pseudoaneurysm
A Simplified Treatment Method
Matthew P. Cauchi DO
Department of Internal Medicine, Carilion Clinic, Roanoke Memorial Hospital, Roanoke, Virginia USA
Search for more papers by this authorCorresponding Author
Paul M. Robb MD
Department of Internal Medicine, Carilion Clinic, Roanoke Memorial Hospital, Roanoke, Virginia USA
Address correspondence to Paul M. Robb, MD, Department of Internal Medicine, Virginia Tech, Carilion Clinic School of Medicine, 1906 Belleview Ave, Roanoke, VA 24014 USA.Search for more papers by this authorRobert P. Zemple MD
Department of Emergency Medicine, Carilion Clinic, Roanoke Memorial Hospital, Roanoke, Virginia USA
Search for more papers by this authorTimothy C. Ball MD, PhD
Department of Cardiology, Carilion Clinic, Roanoke Memorial Hospital, Roanoke, Virginia USA
Search for more papers by this authorMatthew P. Cauchi DO
Department of Internal Medicine, Carilion Clinic, Roanoke Memorial Hospital, Roanoke, Virginia USA
Search for more papers by this authorCorresponding Author
Paul M. Robb MD
Department of Internal Medicine, Carilion Clinic, Roanoke Memorial Hospital, Roanoke, Virginia USA
Address correspondence to Paul M. Robb, MD, Department of Internal Medicine, Virginia Tech, Carilion Clinic School of Medicine, 1906 Belleview Ave, Roanoke, VA 24014 USA.Search for more papers by this authorRobert P. Zemple MD
Department of Emergency Medicine, Carilion Clinic, Roanoke Memorial Hospital, Roanoke, Virginia USA
Search for more papers by this authorTimothy C. Ball MD, PhD
Department of Cardiology, Carilion Clinic, Roanoke Memorial Hospital, Roanoke, Virginia USA
Search for more papers by this authorAbstract
A radial artery pseudoaneurysm represents a rare, potentially catastrophic complication of arterial cannulation that has been reported after cardiac catheterization. Treatment options are limited to chemical, mechanical, and combined approaches to obliterate the radial artery pseudoaneurysm and tract. Manual compression protocols using the TR Band (Terumo Medical Corporation, Somerset, NJ) have been variable and anecdotal, without objective measurements of adequate compression, making this technique prone to failure. In this report, we present an efficient, safe, and noninvasive management protocol using a pulse oximeter and the TR Band for treatment of radial artery pseudoaneurysms that is cost-effective and efficient and ensures correction without occlusion of the radial artery.
References
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