Iatrogenic Left Subclavian Artery Dissection after Transradial Coronary Angiography in a Young Male

Localized subclavian artery dissection after radial artery access catheterization for coronary angiography is very rarely seen.[1] Extraordinary pain or sensation during arterial catheterization could be suspicious.[2] Pain in the shoulder, neck, chest, and upper limbs is the main symptom. On the other hand, dizziness and gait disturbances can also be detected in the cerebellar infarction when the ipsilateral vertebral artery was affected. A 40-year-old young male patient was admitted to us with new onset of tearing back with a history of uncontrolled hypertension and a diagnostic coronary angiography vial in his left radial artery 2 years ago. His physical examination was normal, albeit contrast-enhanced computer tomography revealed an isolated left subclavian artery originating from the proximal portion ([Fig. 1A–C]). The patient was discharged with conservative therapy after observing in the hospital, and the follow-up was uneventful. Informed consent has been obtained from the patient for the publication of the case and accompanying images.

Fig. 1 (A–C) Computed tomography scan of the patient (The arrows indicate computed tomography scan of patient's dissected left subclavian artery).

Publication History

Article published online:
15 July 2023

• References

• 1 Tatli E, Aksoy M, Pabuccu MT. Subclavian artery dissection: a rare complication of transradial coronary angiography. Arch Med Sci Atheroscler Dis 2016; 1 (01) e66-e67
• 2 Catanese V, Alberto Pegorer M, Bissacco D, Di Gregorio S, Dallatana R, Settembrini P. Conservative management in a young woman affected by isolated left subclavian artery dissection. Ann Vasc Dis 2014; 7 (03) 347-349