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A late complication of percutaneous radial artery cannulation
A Nazeri1, S Sohawon, B Papadopoulou
1Department of Radiology, CHU Brugmann, Brussels, Belgium.
Abstract:
Radial artery pseudoaneurysms occurring as a late complication of percutaneous radial artery cannulation are rare, while those which are infected are exceptional. Known risk factors are age-related with patients being in their seventies and onwards, the duration of the radial artery catheter and staphylococcal catheter-related infections. We report the case of an 82-year-old patient who developed a mycotic radial artery pseudoaneurysm as a late complication of arterial catheterization.
Insights
Infected radial artery pseudoaneurysms are exceptionally rare complications of arterial catheterization. This case highlights a mycotic radial artery pseudoaneurysm in an elderly patient, emphasizing rare infection risks.
Area of Science:
- Vascular Surgery
- Infectious Diseases
- Interventional Cardiology
Background:
- Percutaneous radial artery cannulation is a common procedure.
- Late complications, such as pseudoaneurysms, are infrequent.
- Infected pseudoaneurysms represent an exceptional subset of these complications.
Observation:
- An 82-year-old patient presented with a mycotic radial artery pseudoaneurysm.
- This occurred as a late complication following arterial catheterization.
- Risk factors included advanced age and potential staphylococcal infection.
Findings:
- The case details the development of a mycotic pseudoaneurysm.
- This highlights an unusual infectious complication of radial artery cannulation.
- The patient's age and catheter presence were noted risk factors.
Implications:
- This case underscores the rare but serious risk of infectious pseudoaneurysms post-cannulation.
- Awareness of this complication is crucial for clinicians managing patients with radial artery catheters.
- Further vigilance is needed for elderly patients and those with prolonged catheter dwell times.
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