Thyrocervical Trunk Perforation: A Rare Vascular Complication During Cardiac Intervention Through Right Radial Approach: A Case Report and Literature Review

Publication date: Available online 28 March 2019Source: Journal of the Saudi Heart AssociationAuthor(s): Masood Ayyub Ghori, Abdulmajeed Al Zubaidi, Asim KhwajaAbstractTrans Radial artery Access (TRA) is considered relatively safe approach for percutaneous coronary intervention (PCI), by virtue of its fewer access related peripheral vascular complications. Central arterial complications are rare. We are presenting a case report wherein Thyrocervical Trunk (TT), a branch of first part of Right Subclavian Artery (RSA) was perforated during intervention through right Radial approach, resulting in deep neck hematoma, compressing the trachea and surrounding structure. As of our knowledge, this is first reported case of TT perforation by a hydrophilic wire during a staged cardiac catheterization after primary PCI through right radial approach. Knowledge of such a rare complication, its early recognition and endovascular treatment might spare a patient with recent acute coronary syndrome on double antiplatelet medications, from surgical intervention and fatal outcome.
Source: Journal of the Saudi Heart Association - Category: Cardiology Source Type: research