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

Isaac Josh Abecassis, Vasu Saini, Mauricio G. Cohen, Dileep R. Yavagal

Research output: Contribution to journalArticlepeer-review

Abstract

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.)

Original languageEnglish (US)
Pages (from-to)1187-1190
Number of pages4
JournalJACC: Case Reports
Volume3
Issue number9
DOIs
StatePublished - Aug 4 2021
Externally publishedYes

Keywords

  • arterial perforation
  • cerebral angiography
  • internal mammary artery perforation
  • transradial access

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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