Radial Artery Occlusion in a Patient With Lupus, Antiphospholipid Syndrome, and Raynaud Phenomenon: A Multimodal Approach.
case_report · Level V
Where this comes from
- Record sourced from PubMed, PMID 31585746.
- Also identified by DOI 10.1016/j.jhsa.2019.08.009.
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Abstract
Radial artery occlusion (RAO) is a known complication of transradial catheterization for cardiac procedures. The transradial approach has decreased bleeding complications compared with the transfemoral approach, but risks provoking hand ischemia. We present a case of a 29-year-old peripartum woman with a history of lupus, antiphospholipid syndrome, and Raynaud phenomenon who developed RAO with hand-threatening ischemia despite therapeutic anticoagulation. Given the patient's medical history, a multimodal approach was applied including thrombectomy, arterial bypass, venous arterialization, and onobotulinum toxin A sympathectomy. The patient's ischemia improved after the procedure, and she regained normal use of the hand.
Medical subject headings
- Antiphospholipid Syndrome
- Arterial Occlusive Diseases
- Raynaud Disease
Anatomy
- radius