{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T00:16:25Z","timestamp":1784679385317,"version":"3.55.0"},"reference-count":14,"publisher":"BMJ","issue":"7","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,6,27]]},"published-print":{"date-parts":[[2021,7]]},"abstract":"<jats:p>A mycotic aneurysm of the distal radial artery following access for cardiac catheterisation is a rare complication that has not been described in the literature. We present the case of an 84-year-old man who developed bacteraemia and cellulitis over his left first dorsal webspace 2 days after undergoing cardiac catheterisation through the distal radial artery at the anatomic snuffbox. Ultrasound scanning and CT imaging were concerning for a possible pseudoaneurysm at that location. Once we confirmed that the patient had adequate flow through his hand with angiography and an Allen\u2019s test, we explored his left hand and found a mycotic aneurysm of the distal radial artery with surrounding frank purulence. We resected the aneurysm and ligated the artery. Pathology confirmed that this was a mycotic aneurysm. The patient quickly recovered from his infection after this definitive treatment.<\/jats:p>","DOI":"10.1136\/bcr-2020-241506","type":"journal-article","created":{"date-parts":[[2021,7,22]],"date-time":"2021-07-22T10:46:49Z","timestamp":1626950809000},"page":"e241506","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Mycotic aneurysm of the distal radial artery after cardiac catheterisation"],"prefix":"10.1136","volume":"14","author":[{"given":"Audrey B","family":"Nguyen","sequence":"first","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of California San Francisco, San Francisco, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Micaela","family":"Rosser","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of California San Francisco, San Francisco, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Scott L","family":"Hansen","sequence":"additional","affiliation":[{"name":"Division of Plastic and Reconstructive Surgery, University of California San Francisco, San Francisco, California, USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,7,22]]},"reference":[{"key":"2025082800280293000_14.7.e241506.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2008.06.044"},{"key":"2025082800280293000_14.7.e241506.2","doi-asserted-by":"crossref","first-page":"305","DOI":"10.1111\/joic.12206","article-title":"Unusual vascular complications associated with Transradial coronary procedures among 10,324 patients: case based experience and treatment options","volume":"28","author":"Tatli","year":"2015","journal-title":"J Interv Cardiol"},{"key":"2025082800280293000_14.7.e241506.3","doi-asserted-by":"publisher","DOI":"10.1378\/chest.101.2.490"},{"key":"2025082800280293000_14.7.e241506.4","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(62)90287-8"},{"key":"2025082800280293000_14.7.e241506.5","doi-asserted-by":"publisher","DOI":"10.1007\/s10016-006-9045-8"},{"key":"2025082800280293000_14.7.e241506.6","doi-asserted-by":"publisher","DOI":"10.1002\/ccd.28155"},{"key":"2025082800280293000_14.7.e241506.7","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.1.1262.467"},{"key":"2025082800280293000_14.7.e241506.8","doi-asserted-by":"crossref","first-page":"7","DOI":"10.3400\/avd.cr09015","article-title":"Infected aneurysm: current management","volume":"3","author":"Kim","year":"2010","journal-title":"Ann Vasc Dis"},{"key":"2025082800280293000_14.7.e241506.9","doi-asserted-by":"publisher","DOI":"10.1016\/j.ejvs.2007.10.014"},{"key":"2025082800280293000_14.7.e241506.10","doi-asserted-by":"crossref","first-page":"86","DOI":"10.1016\/j.avsg.2018.04.019","article-title":"Contemporary results of surgical management of peripheral mycotic aneurysms","volume":"53","author":"Salzler","year":"2018","journal-title":"Ann Vasc Surg"},{"key":"2025082800280293000_14.7.e241506.11","doi-asserted-by":"publisher","DOI":"10.1001\/archsurg.1983.01390050053010"},{"key":"2025082800280293000_14.7.e241506.12","doi-asserted-by":"crossref","first-page":"256","DOI":"10.1016\/j.clinimag.2015.11.011","article-title":"Diagnosis and management of mycotic aneurysms","volume":"40","author":"Deipolyi","year":"2016","journal-title":"Clin Imaging"},{"key":"2025082800280293000_14.7.e241506.13","doi-asserted-by":"crossref","first-page":"44","DOI":"10.1016\/j.ijscr.2016.08.015","article-title":"Radial artery aneurysm in the anatomical snuff box: a case report and literature review","volume":"27","author":"Yamamoto","year":"2016","journal-title":"Int J Surg Case Rep"},{"key":"2025082800280293000_14.7.e241506.14","doi-asserted-by":"publisher","DOI":"10.1148\/rg.287085054"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2020-241506","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T07:28:15Z","timestamp":1756366095000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2020-241506"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,7]]},"references-count":14,"journal-issue":{"issue":"7","published-online":{"date-parts":[[2021,7,22]]},"published-print":{"date-parts":[[2021,7]]}},"alternative-id":["10.1136\/bcr-2020-241506"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2020-241506","relation":{},"ISSN":["1757-790X"],"issn-type":[{"value":"1757-790X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2021,7]]}}}