Pectoral muscle hematoma: A rare complication of transradial cardiac catheterization

compared to transfemoral access, but detection and management of these complications are not well defined. We presented two unusual cases of pectoral muscle hematoma after transradial coronary angioplasty. The first case was a male patient who had undergone angiography through the left radial artery. Advancing to the aortic arch through the axillary artery was challenging and was performed by changing to 0.035 inch stiffer hydrophilic wire. The patient complained of a dull left-sided chest pain after angiography; his ECG revealed no sign of ischemia. Left pectoral muscle was swollen and tense on palpation (Fig. 1a). Thorax CT revealed a large hematoma in the left pectoral muscle (Fig. 1b). No extravasation was detected in control subclavian and axillary angiography (Fig. 2). The second case was a male patient who had undergone angiography through the right radial artery. Passing Anatol J Cardiol 2016; 16: E-21-24 E-page Original Images E-22