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Unexpected Internal Mammary Artery Perforation During Transradial Access for a Neuroendovascular Procedure

During cerebral angiography via transradial access, the guidewire inadvertently entered the right internal mammary artery. This was not recognized because of its downward trajectory, and it was interpreted to be in the ascending aorta. Catheter manipulation perforated the right internal mammary arte...

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Detalles Bibliográficos
Autores principales: Abecassis, Isaac Josh, Saini, Vasu, Cohen, Mauricio G., Yavagal, Dileep R.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8353564/
https://www.ncbi.nlm.nih.gov/pubmed/34401756
http://dx.doi.org/10.1016/j.jaccas.2021.03.010
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author Abecassis, Isaac Josh
Saini, Vasu
Cohen, Mauricio G.
Yavagal, Dileep R.
author_facet Abecassis, Isaac Josh
Saini, Vasu
Cohen, Mauricio G.
Yavagal, Dileep R.
author_sort Abecassis, Isaac Josh
collection PubMed
description During cerebral angiography via transradial access, the guidewire inadvertently entered the right internal mammary artery. This was not recognized because of its downward trajectory, and it was interpreted to be in the ascending aorta. Catheter manipulation perforated the right internal mammary artery, with development of pectoral hematoma. The perforation was sealed with coils and glue. (Level of Difficulty: Advanced.)
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spelling pubmed-83535642021-08-15 Unexpected Internal Mammary Artery Perforation During Transradial Access for a Neuroendovascular Procedure Abecassis, Isaac Josh Saini, Vasu Cohen, Mauricio G. Yavagal, Dileep R. JACC Case Rep Case Report During cerebral angiography via transradial access, the guidewire inadvertently entered the right internal mammary artery. This was not recognized because of its downward trajectory, and it was interpreted to be in the ascending aorta. Catheter manipulation perforated the right internal mammary artery, with development of pectoral hematoma. The perforation was sealed with coils and glue. (Level of Difficulty: Advanced.) Elsevier 2021-04-07 /pmc/articles/PMC8353564/ /pubmed/34401756 http://dx.doi.org/10.1016/j.jaccas.2021.03.010 Text en © 2021 The Authors https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Abecassis, Isaac Josh
Saini, Vasu
Cohen, Mauricio G.
Yavagal, Dileep R.
Unexpected Internal Mammary Artery Perforation During Transradial Access for a Neuroendovascular Procedure
title Unexpected Internal Mammary Artery Perforation During Transradial Access for a Neuroendovascular Procedure
title_full Unexpected Internal Mammary Artery Perforation During Transradial Access for a Neuroendovascular Procedure
title_fullStr Unexpected Internal Mammary Artery Perforation During Transradial Access for a Neuroendovascular Procedure
title_full_unstemmed Unexpected Internal Mammary Artery Perforation During Transradial Access for a Neuroendovascular Procedure
title_short Unexpected Internal Mammary Artery Perforation During Transradial Access for a Neuroendovascular Procedure
title_sort unexpected internal mammary artery perforation during transradial access for a neuroendovascular procedure
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8353564/
https://www.ncbi.nlm.nih.gov/pubmed/34401756
http://dx.doi.org/10.1016/j.jaccas.2021.03.010
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