ARYA Atherosclerosis Journal

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

Document Type : Case Report

Authors

Mostafa Ahmadi 1
Ramin Khamene-Bagheri 1
Reza Jafarzadeh-Esfehani 2

1 Assistant Professor, Department of Cardiology, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

2 PhD Candidate, Department of Medical Genetics, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran

https://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
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ARYA Atherosclerosis Journal
Volume 14, Issue 5 - Serial Number 5
September and October 2018
Pages 233-235

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