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Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
Published on: September 20, 2020
Distal solution for an (un)conventional radial artery complication: a case report
Giuseppe Colletti1,2, Gregory Angelo Sgueglia3, Olivier Gach4
1Cardiovascular Department, Clinique Saint Joseph, Vivalia, Rue des Déportés 137, 6700 Arlon, Belgium.
Transradial access (TRA) can lead to pseudoaneurysms. A novel upsized sheath technique successfully managed a large-neck pseudoaneurysm, offering a safe, non-surgical alternative for this rare complication.
Area of Science:
- Cardiology
- Vascular Surgery
- Interventional Radiology
Background:
- Transradial access (TRA) is recommended by the European Society of Cardiology for coronary angiography due to reduced mortality and bleeding risks.
- Arterial pseudoaneurysms are infrequent but challenging complications of TRA, occurring in 0.009%-0.05% of procedures.
- Non-surgical management of large-neck pseudoaneurysms (>1 mm) post-TRA is difficult due to limited compression effectiveness and thrombin injection risks.
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