Masood Ghori1, Abdulmajeed Al Zubaidi1, Asim Khwaja1

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

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.

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.

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.

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.