Infected chronic sinus secondary to a retained fragment of radial artery introducer sheath following percutaneous coronary intervention (PCI)
| Autor: | Benjamin A Marrow, John William Kenneth Harrison, Christopher George Ghazala, Dermot Kearney |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
medicine.medical_treatment 030204 cardiovascular system & hematology 03 medical and health sciences Percutaneous Coronary Intervention 0302 clinical medicine Forearm medicine.artery medicine Humans Surgical Wound Infection 030212 general & internal medicine Radial artery Muscle Skeletal Abscess Ultrasonography medicine.diagnostic_test business.industry Percutaneous coronary intervention Interventional radiology General Medicine Middle Aged Foreign Bodies medicine.disease Reminder of Important Clinical Lesson Surgery medicine.anatomical_structure Radial Artery Conventional PCI Introducer sheath Female Foreign body business Vascular Access Devices |
| Zdroj: | BMJ Case Rep |
| ISSN: | 1757-790X |
| Popis: | Coronary angiography and percutaneous coronary intervention (PCI) are frequently performed procedures in the UK and the developed world, with the radial artery becoming the preferred route of access. A chronically retained macroscopic fragment of radial artery introducer sheath is a very rare complication that has not, to our knowledge, been reported. We report the case of a 62-year-old woman who underwent PCI and developed a persisting infected sinus and abscess at the cannulation site despite multiple courses of antibiotics. Surgical exploration of the forearm recovered a foreign body that was found in the brachioradialis muscle and resembled a fragment of hydrophilic sheath. In conclusion, this case highlights that it is possible to leave macroscopic fragments of hydrophilic sheaths in situ. This is likely to be encountered during difficult access, especially during arterial spasm, and it is advised that the sheath and any other vascular access device is thoroughly inspected following removal. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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