Angle-tipped guidewire-induced vascular perforation at branch of superior thoracic artery during sheath insertion: Case report
| العنوان: | Angle-tipped guidewire-induced vascular perforation at branch of superior thoracic artery during sheath insertion: Case report |
|---|---|
| المؤلفون: | Hiroyuki Tabata, Satoshi Yoshino, Mitsuru Ohishi, Shigeki Tateishi, Yoshihiro Uchikado, Kenta Ohmure |
| المصدر: | Journal of Cardiology Cases. 16:158-161 |
| بيانات النشر: | Elsevier BV, 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | medicine.medical_specialty, medicine.medical_treatment, Perforation (oil well), 030204 cardiovascular system & hematology, Anterior Descending Coronary Artery, Article, 030218 nuclear medicine & medical imaging, 03 medical and health sciences, 0302 clinical medicine, medicine.artery, Internal medicine, medicine, Embolization, medicine.diagnostic_test, business.industry, Percutaneous coronary intervention, Stent, Surgery, Shock (circulatory), Angiography, Cardiology, Radiology, Superior thoracic artery, medicine.symptom, Cardiology and Cardiovascular Medicine, business |
| الوصف: | An 84-year-old woman was admitted to our hospital because of congestive heart failure, rapid atrial fibrillation, and ischemic heart disease. Percutaneous coronary intervention (PCI) via the left radial artery was performed, and a stent was deployed successfully into left anterior descending coronary artery (LAD). She got into shock state one hour after PCI. Chest X-ray and computed tomography scan revealed increase of soft tissue around the left axilla and implied the existence of hematoma. Hemoglobin level decreased from 13.3 g/dL to 8.2 g/dL and hemorrhagic shock was suspected. Angiography of the left axillary artery demonstrated contrast extravasation, and selective angiography using a micro-catheter identified bleeding from a branch of the superior thoracic artery. Hemostasis was performed successfully by embolization using a gelatin sponge, and improvement of the general condition was obtained. Aberration of 0.025-in. angle tipped guidewire was considered to induce arterial perforation during sheath insertion. |
| تدمد: | 1878-5409 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::3b087ab785548cec38e81cb83192b819Test https://doi.org/10.1016/j.jccase.2017.07.007Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....3b087ab785548cec38e81cb83192b819 |
| قاعدة البيانات: | OpenAIRE |
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