Masood Ghori1, Abdulmajeed Al Zubaidi1, Asim Khwaja1

1Sheikh Khalifa Medical City, Abu Dhabi, United Arab Emirates

Background:
Trans radial artery access (TRA) is considered a relatively safe approach for percutaneous coronary intervention(PCI), by virtue of its fewer access related peripheral vascular complications. Central arterial complications are rare.

Method(s):
We are presenting a case report wherein thyrocervical trunk (TT), a branch of first part of right subclavian artery (RSA) was perforated during intervention through right radial approach, resulting in deep neck hematoma, compressing the trachea and surrounding structure.

Result(s):
To our knowledge, this is the first reported case of TT perforation by a hydrophilic wire during a staged cardiac catheterization after primary PCI through right radial approach.

Conclusion(s):
Knowledge of such a rare complication, its early recognition, and endovascular treatment might spare a patient with recent acute coronary syndrome on double antiplatelet medications, from surgical intervention and fatal outcome.