The transradial approach is becoming a very popular technique in coronary and peripheral interventions because of its low vascular complication rate and improved patient comfort. Reported complications during the transradial approach are radial artery spasm, perforation, occlusion and formation of pseudoaneurysms. The kinking of the diagnostic catheter during catheter manipulation in a severely tortuous subclavian artery can occur very easily, and catheter movements at this point can cause barchial and subclavian artery dissection. We report a case of brachial and subclavian artery dissection during transradial diagnostic angiography, treated by angioplasty and stenting.
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Alvarez-TostadoJ.A., MoiseM.A., BenaJ.F.The brachial artery: a critical access for endovascular procedures.J Vasc Surg.2009; 49(2): 378–385, discussion 385.
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KhoubyariR., ArsanjaniR., HabibzadehM.R., EcheverriJ., MovahedM.R.Successful removal of an entrapped and kinked catheter during right transradial cardiac catheterization by snaring and unwinding the catheter via femoral access.Cardiovasc Revasc Med.2012; 13(3): e1–e3.
