- Title
- Delayed Diagnosis of Brachiocephalic Pseudoaneurysm and Carotid Artery Dissection Following Invasive Coronary Angiography
- Creator
- Bamford, Paul; Ray, Max; Anning, Naomi; Collins, Nicholas
- Relation
- Journal of the Society for Cardiovascular Angiography and Interventions Vol. 1, Issue 6, no. 100497
- Publisher Link
- http://dx.doi.org/10.1016/j.jscai.2022.100497
- Publisher
- Elsevier
- Resource Type
- journal article
- Date
- 2022
- Description
- The transradial artery approach is the preferred access route for coronary angiography. The risk of major vascular complications is 0.2% and typically involves hematomas arising from the radial, brachial, or subclavian artery, with pseudoaneurysms of the radial artery previously described.1,2. Brachiocephalic pseudoaneurysm is a rare and anatomically challenging clinical entity from a diagnostic and therapeutic perspective.3.To date, brachiocephalic artery pseudoaneurysms with carotid artery involvement as a complication of coronary angiography have been unreported, with a paucity of literature to guide management. In this report, we describe a case of brachiocephalic pseudoaneurysm and associated carotid artery dissection diagnosed 2 weeks following coronary angiography. This required a hybrid exclusion procedure with open surgical bypass of the carotid dissection and retrograde brachiocephalic stenting.
- Subject
- brachiocephalic pseudoaneurysm; coronary angiography; dissection; vascular surgery; SDG 3; Sustainable Development Goals
- Identifier
- http://hdl.handle.net/1959.13/1487994
- Identifier
- uon:52318
- Identifier
- ISSN:2772-9303
- Rights
- x
- Language
- eng
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