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Thyrocervical trunk perforation: A rare vascular complication during cardiac intervention through right radial approach: A case report and literature review

机译:颈椎干穿孔:通过右radial骨入路在心脏介入治疗中罕见的血管并发症:一例病例报告并文献复习

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摘要

Trans radial artery access (TRA) is considered a relatively safe approach for percutaneous coronary intervention (PCI), by virtue of its fewer access related peripheral vascular complications. Central arterial complications are rare. We are presenting a case report wherein thyrocervical trunk (TT), a branch of first part of right subclavian artery (RSA) was perforated during intervention through right radial approach, resulting in deep neck hematoma, compressing the trachea and surrounding structure. To our knowledge, this is the first reported case of TT perforation by a hydrophilic wire during a staged cardiac catheterization after primary PCI through right radial approach. Knowledge of such a rare complication, its early recognition, and endovascular treatment might spare a patient with recent acute coronary syndrome on double antiplatelet medications, from surgical intervention and fatal outcome.
机译:由于经radial动脉通路(TRA)与周围血管并发症相关的通路较少,因此被认为是经皮冠状动脉介入治疗(PCI)的相对安全的方法。中央动脉并发症很少见。我们正在提交一例病例报告,其中通过右radial骨入路在干预过程中穿入右锁骨下动脉(RSA)的第一部分的子宫颈主干(TT),导致颈部深部血肿,压迫气管和周围结构。据我们所知,这是首次报道的通过右radial骨入路在主动脉PCI后分期进行心脏导管插入期间,通过亲水性金属丝进行TT穿孔的病例。对这种罕见并发症,早期识别和血管内治疗的了解可能会使近期患有急性冠状动脉综合征的患者免于双重抗血小板药物的手术干预和致命性后果。

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