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CASE20191115_022
| ENDOVASCULAR - Peripheral Vascular Disease and Intervention | |
| Percutaneous Repair of Radial Artery Pseudo Aneurysm | |
| Nikhil Mahajan1 | |
| SMVDN Superspeciality Hospital, India1, | |
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[Clinical Information]
- Patient initials or identifier number:
ST
-Relevant clinical history and physical exam:
Patient SS 61 Years Old / Male DM, HTN Known case of CAD and undergone PTCA one month back via right radial route and patient was on follow-up. Patient came to hospital with abnormal body movements jerking of head and arm with no loss of consciousness. The episodes last few minutes and patient gets relief on his own. Patient has come to hospital for further management.-Relevant test results prior to catheterization:
Patient SS 61 Years/Male DM, HTN Known case of CAD and undergone PTCA one month back via right Radial route and Patient was on follow-up. Patient came to hospital with abnormal body movements jerking of head and arm with no loss of consciousness. The episodes last few minutes and patient gets relief on his own. Patient has come to hospital for further management.- Relevant catheterization findings:
The patient did not have any seizure during his stay in the hospital and his anti-seizure medications was changed to oral. Incidentally he was found to have a round, tense swelling on palmar aspect of right wrist on radial side about 2x2 cm. CT scan of arms was done which showed findings consistent with partially thrombosed pseudo aneurysm in relation to distal right artery with compression of artery.
 Percutaneous Repair of Radial Artery Pseudo Aneurysm Dr. Nikhil Mahajan.pptx |
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[Interventional Management]
- Procedural step:
Right radial artery was hooked with IMAx6Fr. guiding catheter. Right Radial Artery pseudo aneurysm was crossed with Whisper Guidewire; Graftmaster 2.8x19mm was deployed up to 16-18atm. Results: No dissection or thrombus with TIMI III flow. Good results & No Complications. Patient discharged from hospital and on regular follow-up. Percutaneous Repair of Radial Artery Pseudo Aneurysm Dr. Nikhil Mahajan.pptx- Case Summary:
Results: No dissection or thrombus with TIMI III flow. Good results & No Complications. Patient discharged from hospital and on regular follow-up. |
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