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BMJ Case Reports 2013; doi:10.1136/bcr-2012-007602
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Iatrogenic perforation of subclavian artery as a complication of coronary angiography from the radial route, endovascularly repaired with a covered stent-graft

  1. Heather Sullivan
  1. Aintree Cardiac Centre, Aintree University Hospital NHS Foundation Trust, Liverpool, UK
  1. Correspondence to Dr Muhammad Ali Abdool, Aintree Cardiac Centre, Aintree University Hospital NHS Foundation Trust, Liverpool, UK; ali.abdool{at}aintree.nhs.uk

Description

This 86-year-old, independent and mobile lady with a previous coronary artery bypass and bioprosthetic aortic valve replacement was admitted with angina and ventricular tachycardia. She proceeded to have an uneventful coronary angiogram with graft study from the right radial approach. Thirty minutes postprocedure, she experienced central chest and epigastric pain radiating into the back, developed stridor and became hypotensive. She was treated for the common periprocedural complications of anaphylactic reaction …

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