Ulnar artery thrombosis after percutaneous thrombin injection of a pseudoaneurysm with a concomitant radial artery occlusion: Three complications after percutaneous coronary intervention.

Abstract

A 78-year-old woman was admitted to our hospital for ongoing chest pain. Electrocardiogram showed ST-segment elevation in inferior leads and primary percutaneous coronary intervention (PCI) was successfully performed from the right ulnar artery, as a result of cannulation failure of the ipsilateral radial artery. The patient reported a right transradial PCI some years earlier. After removal of the hemostatic device, a painful pulsatile mass was revealed in the distal forearm. Color Doppler ultrasonography (CDUS) showed complete occlusion of the right radial artery and iatrogenic ulnar artery pseudoaneurysm (Fig. 1)