Hypopigmented Scar following Transradial Catheterization: An Extremely Rare Local Site Complication

[摘要] Background: Transradial route is predominant access site for cardiac catheterization procedures but there is little data about hypopigmented scar at puncture site post procedure. Case Report: A 64-year-old male presented with inferior wall ST segment elevation myocardial infarction. Primary percutaneous coronary intervention was performed of left circumflex artery followed by transradial band application at puncture site for 120 minutes. At 8-week follow-up, a hypopigmented scar was noted over puncture site which is an exceedingly rare complication at local site. Conclusion: Prolonged compression at higher pressure by TR band resulted into pressure necrosis leading into hypopigmented scar. Adopting a “patent hemostasis” protocol could have averted such complication.

[学科分类] 生理学

[关键词] Cardiac Catheterization;Hemostasis;Percutaneous Coronary Intervention;ST Elevation Myocardial Infarction;Punctures.