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Open Access Pseudoaneurysm with Median Nerve Injury Caused by Right Radial Artery Puncture: A Case Report

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Background: Pseudoaneurysm with median nerve injury is a serious complication of radial artery puncture. It is very important to summarize the prevention and treatment experience of this complication through case discussion.

Case report: A 66-year-old woman was admitted to the hospital because of “paroxysmal chest tightness and suffocation for 5 days.” Coronary angiography was performed. During insertion of the arterial sheath, the patient experienced severe pain in the right forearm, which radiated to the palm. The puncture sheath did not return blood after the sheath core was withdrawn. The sheath was removed and local compression was used to stop bleeding. There was no obvious bleeding at the puncture point, and the compression was removed 6 hours after the procedure. Local swelling and increased tension were seen in the right forearm. At the 1-week follow-up she exhibited swelling, high local tension, small blisters, and bluish-purple skin of the right forearm, with an acceptable right radial artery pulsation. She had severe pain in the affected limb, which radiated to the thumb, index finger, and middle finger.

Case discussion: We discuss the causes of and treatment measures for pseudoaneurysm with median nerve injury caused by radial artery puncture.

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Keywords: Puncture; complications; median nerve; radial artery

Document Type: Research Article

Affiliations: 1: Department of Cardiology, People’s Hospital of Langfang City, Langfang, 065000 Hebei, People’s Republic of China 2: Department of Ultrasound, People’s Hospital of Langfang City, Langfang, 065000 Hebei, People’s Republic of China 3: Department of Orthopedics, People’s Hospital of Langfang City, Langfang, 065000 Hebei, People’s Republic of China 4: Emergency Department, Beijing Anzhen Hospital, Capital Medical University, 100029 Beijing, People’s Republic of China 5: Department of Cardiology, Beijing Anzhen Hospital, Capital Medical University, 100029 Beijing, People’s Republic of China

Publication date: February 1, 2021

This article was made available online on December 4, 2020 as a Fast Track article with title: "Pseudoaneurysm with Median Nerve Injury Caused by Right Radial Artery Puncture: A Case Report".

More about this publication?
  • Cardiovascular Innovations and Applications (CVIA) publishes focused articles and original clinical research that explore novel developments in cardiovascular disease, effective control and rehabilitation in cardiovascular disease, and promote cardiovascular innovations and applications for the betterment of public health globally. The journal publishes basic research that has clinical applicability in order to promote timely communication of the latest insights relating to coronary artery disease, heart failure, hypertension, cardiac arrhythmia, prevention of cardiovascular disease with a heavy emphasis on risk factor modification. Cardiovascular Innovations and Applications is the official journal of the Great Wall International Congress of Cardiology (GW-ICC). It aims to continue the work of the GW-ICC by providing a global scientific communication platform for cardiologists that bridges East and West.

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