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Journal of Case Reports
Hypopigmented Scar following Transradial Catheterization: An Extremely Rare Local Site Complication
Santosh Kumar Sinha, Puneet Aggarwal, Mukesh Jitendra Jha, Vikas Mishra
Department of Cardiology, LPS Institute of Cardiology, Ganesh Shankar Vidyarthi Memorial Medical College, Kanpur, Uttar Pradesh, India.
Corresponding Author:
Dr. Santosh Kumar Sinha 
Email: fionasan@rediffmail.com
Received: 29-APR-2020 Accepted: 03-SEP-2020 Published Online: 05-DEC-2020
DOI: http://dx.doi.org/10.17659/01.2020.0066
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.
Keywords : Cardiac Catheterization, Hemostasis, Percutaneous Coronary Intervention, ST Elevation Myocardial Infarction, Punctures.
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