J Transcat Intervent.2023;31:eA202301.
Compartment syndrome after spontaneous rupture of a left radial artery pseudoaneurysm
Benjamim Massao Harada Neto
, Rodrigo Daghlawi
, João Ricardo Antunes Marcos
, Gilberto Guilherme Ajjar Marchiori
, Micheli Zanoti Galon
, Luciana Aparecida Salgado Rodrigues
, George César Ximenes Meireles
DOI: 10.31160/JOTCI202331A202301
ABSTRACT
The transradial approach is indicated to reduce the risk of death, vascular complications, or bleeding. In patients with stable ischemic heart disease, the radial approach is recommended to reduce vascular complications and bleeding on access site. The complications are rare, and hematoma, perforation, and pseudoaneurysm (very rarely) of the radial artery may occur. This case report describes a rare case of left radial artery pseudoaneurysm associated with compartment syndrome in the left forearm after elective catheterization. The diagnosis was confirmed by Doppler ultrasonography, which showed a left radial artery pseudoaneurysm, measuring 2.1×1.5cm, with a 0.3-cm long/wide neck. Surgical treatment of pseudoaneurysm and compartment syndrome restored full limb function.
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