scholarly journals Radial artery occlusion after cardiac catheterization and impact of medical treatment

VASA ◽  
2020 ◽  
Vol 49 (6) ◽  
pp. 463-466
Author(s):  
Martin Steinmetz ◽  
Tobias Radecke ◽  
Tomasz Boss ◽  
Max J. Stumpf ◽  
Julia Lortz ◽  
...  
Keyword(s):  
Retrospective Analysis ◽  
Radial Artery ◽  
Cardiac Catheterization ◽  
Rare Complication ◽  
Bypass Graft ◽  
Artery Occlusion ◽  
Tertiary Referral Hospital ◽  
Radial Artery Occlusion ◽  
Transradial Catheterization

Summary: Background: The transradial artery approach is the preferred access for cardiac catheterization according to current guidelines. However, the most common complication is radial artery occlusion (RAO). Despite the rare indication for surgical reopening, the occluded radial artery is not available for further procedures or as a potential bypass graft. Still, treatment regimens for RAO are scarce. We now determined whether the addition of antithrombotic to antiplatelet therapy improves the rate of partial or complete regain of patency in RAO following transradial cardiac catheterization in a retrospective analysis. Patients and methods: In a two-center tertiary referral hospital retrospective analysis 4135 files of patients who had undergone transradial catheterization were screened for documented RAO. 141 patients were identified and 138 patients with complete information on the medical regimen and ultrasound examinations for a maximum of 3 months were included in the analysis, whereas 3 patients were excluded due to missing or incomplete follow-up information. Results: 3.3% of all patients that had undergone transradial catheterization featured an oligosymptomatic RAO, confirmed by color-coded duplex sonography. 21% of patients with additional anticoagulation regained full patency vs. 9% without additional anticoagulation (p = 0.07). 40% of patients with anticoagulation featured a partial or full regain of patency vs. 16% of patients without additional anticoagulation for a maximum of 3 months treatment (p = 0.006). No major bleedings were reported during the follow-up visits. Conclusions: RAO remains a rare complication of cardiac catheterization. The addition of antithrombotic therapy for 3 months appears to safely improve the partial or even full regain of radial patency in case of postinterventional RAO.

Pseudoaneurysm a rare complication of transradial cardiac catheterization: a case report

Vascular ◽  
2013 ◽  
Vol 21 (5) ◽  
pp. 331-334 ◽  
Author(s):  
Tariq Bhat ◽  
Hilal Bhat ◽  
Sumaya Teli ◽  
Bartaula Rajiv ◽  
Muhammad Akhtar ◽  
...  
Keyword(s):  
Radial Artery ◽  
Cardiac Catheterization ◽  
Rare Complication ◽  
Arterial Occlusion ◽  
Surgical Excision ◽  
Artery Occlusion ◽  
Transfemoral Approach ◽  
Radial Artery Occlusion ◽  
Viable Approach

Transradial access for cardiac catheterization is a safe and viable approach with significantly lower incidence of major access-related complications compared with the transfemoral approach. As this form of access is getting wider acceptance among interventional cardiologists, awareness of its complications is of vital importance. Asymptomatic radial artery occlusion, non-occlusive radial artery injury and radial artery spasm are commonly reported complication of this approach. Symptomatic radial arterial occlusion, pseudoaneurysm and radial artery perforation are rarely reported complications of transradial approach. Early identification of these uncommon complications and their urgent management is of significant importance. We present the case of an 80-year-old lady who developed pseudoaneurysm a week after transradial cardiac catheterization managed with surgical excision with no long-term sequela.

scholarly journals Vascular Complications of Transradial Access for Cardiac Catheterization

2021 ◽  
Vol 15 ◽  
Author(s):  
Tanawan Riangwiwat ◽  
James C Blankenship
Keyword(s):  
Radial Artery ◽  
Cardiac Catheterization ◽  
Rare Complication ◽  
Vascular Complications ◽  
Daily Practice ◽  
Artery Occlusion ◽  
Prompt Treatment ◽  
Hand Ischemia ◽  
Transradial Access ◽  
Radial Artery Occlusion

Transradial access has been increasingly adopted for cardiac catheterization. It is crucial for operators to recognize potential vascular complications associated with radial artery access. Prevention, early detection, and prompt treatment of vascular complications are essential to prevent serious morbidities. This review aims to raise awareness of transradial access vascular complications. Radial artery spasm is treated with intra-arterial verapamil and/or nitroglycerine. Hemorrhagic complications, such as perforation, hematoma, arteriovenous fistula, and pseudoaneurysm, are treated with prolonged compression. Patent hemostasis and adequate anticoagulation are used to prevent radial artery occlusion. Hand ischemia is a rare complication not associated with abnormal results of the Allen or Barbeau test, and can be treated with intra-arterial verapamil, IV heparin, and IV diltiazem. Finally, an attentive monitoring protocol for the timely detection of vascular complications should be implemented in daily practice.

scholarly journals Prevention of Radial Artery Occlusion After Transradial Catheterization

2017 ◽  
Vol 10 (1) ◽  
pp. 103
Author(s):  
Michael Koutouzis ◽  
Christos Maniotis ◽  
Grigorios Avdikos
Keyword(s):  
Radial Artery ◽  
Artery Occlusion ◽  
Radial Artery Occlusion ◽  
Transradial Catheterization

Association of 5 F and 6 F radial sheath with the incidence of radial artery occlusion after transradial catheterization

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Surya Dharma ◽  
William Kamarullah ◽  
Nurcahyani ◽  
Rachmatu Bill Multazam ◽  
Claudia Mary Josephine
Keyword(s):  
Radial Artery ◽  
Artery Occlusion ◽  
Radial Artery Occlusion ◽  
Transradial Catheterization

1321: Role of nursing care in the prevention of the radial artery occlusion after transradial cardiac catheterization

2007 ◽  
Vol 6 (1_suppl) ◽  
pp. 13-14
Author(s):  
Mónica Gómez ◽  
Marcelo Sanmartín ◽  
Maite Martínez ◽  
J. Ramón Rumoroso ◽  
Begoña Pereira ◽  
...  
Keyword(s):  
Radial Artery ◽  
Cardiac Catheterization ◽  
Nursing Care ◽  
Artery Occlusion ◽  
Radial Artery Occlusion ◽  
Role Of Nursing

scholarly journals Comparison of transradial coronary intervention for left main bifurcation disease using the new Braidin® slender 7 Fr sheath and a standard 6 Fr sheath

2020 ◽  
Vol 48 (9) ◽  
pp. 030006052095472
Author(s):  
Yingkai Xu ◽  
Yingkai Li ◽  
Jiancai Yu ◽  
Deguang Wang ◽  
Qi Zhao ◽  
...  
Keyword(s):  
Radial Artery ◽  
Multivariate Logistic Regression Analysis ◽  
Operation Time ◽  
Coronary Intervention ◽  
Artery Occlusion ◽  
Left Main ◽  
Percutaneous Coronary ◽  
Occlusion Rate ◽  
Radial Artery Occlusion

Objectives To compare the effectiveness and safety of the Braidin® slender 7 Fr sheath with a standard 6 Fr sheath for treating left main bifurcation disease. Methods From January 2017 to March 2019, 277 patients with left main bifurcation disease who underwent the transradial approach for percutaneous coronary intervention were divided into the slender 7 Fr sheath group (Braidin® slender 7 Fr sheath, n = 154) and standard 6 Fr sheath group (n = 123). Pathological features, surgical effect, and complications were evaluated. Results The rate of using the classic crush technique was significantly higher in the slender 7 Fr sheath group than in the standard 6 Fr sheath group. The slender 7 Fr sheath group had a significantly shorter operation time than the standard 6 Fr sheath group. There were no significant differences in the radial artery occlusion rate after surgery and at 1 month of follow-up between the groups. Multivariate logistic regression analysis showed that 6 Fr and Braidin slender 7 Fr sheaths did not predict radial artery occlusion. Conclusion The Braidin slender 7 Fr sheath has a superior operative process and similar safety for the radial artery as that of the standard 6 Fr sheath for treating left main bifurcation disease.

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