A Novel Non-Surgical Treatment for Iatrogenic Radial Artery Pseudoaneurysm: A Case Series
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View abstract on PubMed
Summary
This summary is machine-generated.A novel non-surgical technique called DRAINED effectively treats iatrogenic radial artery pseudoaneurysms after transradial procedures. This method offers a safe and complication-free alternative for managing these rare but serious vascular complications.
Area Of Science
- Cardiovascular Interventions
- Vascular Surgery
- Interventional Cardiology
Background
- Iatrogenic radial artery pseudoaneurysm (iRAP) is a rare complication following transradial access.
- Existing treatments like surgery or thrombin injection have limitations, including invasiveness and risk of distal embolization.
Purpose Of The Study
- To describe a novel non-surgical technique, Differential Radial Artery Isolation and NEedle Decompression (DRAINED), for iRAP treatment.
- To evaluate the safety and efficacy of the DRAINED procedure.
Main Methods
- The DRAINED technique involves isolating the iRAP segment using pneumatic compression bands to occlude blood flow.
- Ultrasound-guided needle aspiration of the pseudoaneurysm content was performed, followed by compression to prevent reaccumulation.
- Digital perfusion was monitored throughout the procedure.
Main Results
- Six patients with iRAP were treated using the DRAINED technique between 2018 and 2024.
- All patients achieved complete resolution of their iRAP without complications such as radial artery thrombosis or distal embolization.
- The procedure was performed on patients who underwent percutaneous coronary intervention, often with large sheath sizes.
Conclusions
- The DRAINED technique is a safe and effective non-surgical option for managing iatrogenic radial artery pseudoaneurysms.
- This approach provides a valuable alternative to traditional invasive treatments for iRAP.
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