An unusual complication of transradial coronary angiography.
We report the first case of extensive cellulitis and staphylococcal bacteremia with the subsequent development of a remote mycotic pseudoaneurysm in the ipsilateral brachial artery following right transradial coronary angiography in a diabetic patient with previous right axillary node clearance. The potential for serious complication should be borne in mind when deciding on the site of vascular access in such patients.
Department of Cardiology, Western Infirmary, Glasgow, G11 6NT, United Kingdom.
Margaret B
MB
McEntegart
Jonathan R
JR
Dalzell
M Mitchell
MM
Lindsay
D000368:Aged; D017541:Aneurysm, False / Q000601:surgery; D000785:Aneurysm, Infected / Q000209:etiology* / Q000601:surgery; D015906:Angioplasty, Balloon, Coronary; D001365:Axilla; D016470:Bacteremia / Q000209:etiology* / Q000601:surgery; D001916:Brachial Artery / Q000293:injuries / Q000601:surgery; D001943:Breast Neoplasms / Q000532:radiotherapy / Q000601:surgery; D002481:Cellulitis / Q000209:etiology* / Q000601:surgery; D003131:Combined Modality Therapy; D017023:Coronary Angiography / Q000009:adverse effects* / Q000379:methods; D003327:Coronary Disease / Q000628:therapy*; D005260:Female; D005385:Fingers / Q000601:surgery; D005500:Follow-Up Studies; D006801:Humans; D008197:Lymph Node Excision; D020423:Median Neuropathy / Q000209:etiology / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D017534:Radial Artery; D018714:Radiotherapy, Adjuvant; D012086:Reoperation; D013203:Staphylococcal Infections / Q000209:etiology* / Q000601:surgery; D015607:Stents; D014680:Veins / Q000637:transplantation