title: Radial artery pseudoaneurysm: a simplified treatment method.
abstract: A radial artery pseudoaneurysm represents a rare, potentially catastrophic complication of arterial cannulation that has been reported after cardiac catheterization. Treatment options are limited to chemical, mechanical, and combined approaches to obliterate the radial artery pseudoaneurysm and tract. Manual compression protocols using the TR Band (Terumo Medical Corporation, Somerset, NJ) have been variable and anecdotal, without objective measurements of adequate compression, making this technique prone to failure. In this report, we present an efficient, safe, and noninvasive management protocol using a pulse oximeter and the TR Band for treatment of radial artery pseudoaneurysms that is cost-effective and efficient and ensures correction without occlusion of the radial artery.
authors: Departments of Internal Medicine (M.P.C., P.M.R.), Emergency Medicine (R.P.Z.), and Cardiology (T.C.B.), Carilion Clinic, Roanoke Memorial Hospital, Roanoke, Virginia USA.
authors: Matthew P
authors: MP
authors: Cauchi
authors: Departments of Internal Medicine (M.P.C., P.M.R.), Emergency Medicine (R.P.Z.), and Cardiology (T.C.B.), Carilion Clinic, Roanoke Memorial Hospital, Roanoke, Virginia USA. probb85@gmail.com.
authors: Paul M
authors: PM
authors: Robb
authors: Departments of Internal Medicine (M.P.C., P.M.R.), Emergency Medicine (R.P.Z.), and Cardiology (T.C.B.), Carilion Clinic, Roanoke Memorial Hospital, Roanoke, Virginia USA.
authors: Robert P
authors: RP
authors: Zemple
authors: Departments of Internal Medicine (M.P.C., P.M.R.), Emergency Medicine (R.P.Z.), and Cardiology (T.C.B.), Carilion Clinic, Roanoke Memorial Hospital, Roanoke, Virginia USA.
authors: Timothy C
authors: TC
authors: Ball
mesh_terms: D017541:Aneurysm, False / Q000000981:diagnostic imaging* / Q000628:therapy*; D058128:Compression Bandages; D006801:Humans; D008297:Male; D008875:Middle Aged; D010092:Oximetry / Q000379:methods; D011312:Pressure; D017534:Radial Artery / Q000000981:diagnostic imaging*; D016896:Treatment Outcome; D018615:Ultrasonography, Doppler, Color / Q000379:methods
keywords: Doppler sonography; TR Band; cardiac catheterization; pseudoaneurysm; radial artery; vascular ultrasound