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Vascular. 2015 Apr;23(2):197-200. doi: 10.1177/1708538114540640. Epub 2014 Jun 25.

An avulsed radial artery with a high take-off.

Author information

1
Department of Medicine, Maimonides Medical Center, Brooklyn, NY, USA grmarte@maimonidesmed.org.
2
Department of Cardiology, Maimonides Medical Center, Brooklyn, NY, USA.
3
Department of Medicine, Maimonides Medical Center, Brooklyn, NY, USA.
4
Division of Vascular Surgery, Maimonides Medical Center, Brooklyn, NY, USA.

Abstract

A 63-year-old female was diagnosed with severe aortic stenosis, who underwent a diagnostic coronary angiography via transradial approach prior an aortic-valve replacement. After imaging the left coronary system, entrapment of the diagnostic catheter was encountered as a result of spasm of the radial artery. An arteriogram of the arm revealed an anatomical variation in the radial artery (high take-off). Several attempts to remove the entrapped catheter resulted in avulsion of the artery, which was managed successfully with coil embolization. To our knowledge, no such complication has been reported.

KEYWORDS:

Radial artery; high take-off; radial approach

PMID:
24966272
DOI:
10.1177/1708538114540640
[Indexed for MEDLINE]

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