{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T05:36:07Z","timestamp":1784957767590,"version":"3.55.0"},"reference-count":10,"publisher":"Oxford University Press (OUP)","issue":"11","license":[{"start":{"date-parts":[[2024,10,23]],"date-time":"2024-10-23T00:00:00Z","timestamp":1729641600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>The European Society of Cardiology guidelines recommend transradial access (TRA) for coronary angiography due to its advantages, including lower mortality and bleeding complications. Arterial pseudoaneurysms are rare but challenging complications of TRA, occurring in 0.009%\u20130.05% of procedures. Non-surgical management, especially in cases with large (&amp;gt;1\u2005mm) necks or late discovery, can be difficult due to the limited effectiveness of echo-guided compression and risks of echo-guided thrombin injection, like thrombin embolization leading to necrosis.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>An 82-year-old underwent successful non-surgical management of a large-neck pseudoaneurysm following TRA for a primary percutaneous coronary intervention of the left anterior descending artery. Clinical examination revealed a pulsatile mass at the puncture site, diagnosed via ultrasound as a pseudoaneurysm with a &amp;gt;1\u2005mm neck. Through distal radial access, an initial 5\u2005Fr sheath was upsized to 8\u2005Fr based on ultrasound findings, achieving complete pseudoaneurysm exclusion. Follow-ups confirmed pseudoaneurysm sealing and radial artery patency.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>This case illustrates an effective non-surgical approach to managing large-neck pseudoaneurysms post-TRA, utilizing an upsized sheath technique. It underscores the importance of innovative non-surgical strategies in complex cases, providing a safe and effective alternative to traditional management methods.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytae564","type":"journal-article","created":{"date-parts":[[2024,10,23]],"date-time":"2024-10-23T14:04:57Z","timestamp":1729692297000},"source":"Crossref","is-referenced-by-count":1,"title":["Distal solution for an (un)conventional radial artery complication: a case report"],"prefix":"10.1093","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-6147-0925","authenticated-orcid":false,"given":"Giuseppe","family":"Colletti","sequence":"first","affiliation":[{"name":"Cardiovascular Department, Clinique Saint Joseph, Vivalia , Rue des D\u00e9port\u00e9s 137, 6700 Arlon ,","place":["Belgium"]},{"name":"Cardiovascular Department, Jolimont Hospital , Rue Ferrer 159, 7100 La Louvi\u00e8re 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