Management of iatrogenic radial artery perforation
- 18 December 2003
- journal article
- research article
- Published by Wiley in Catheterization and Cardiovascular Interventions
- Vol. 61 (1), 74-78
- https://doi.org/10.1002/ccd.10698
Abstract
The aim of this study was to evaluate a new protocol allowing coronary angiography to be performed transradially in spite of the occurrence of iatrogenic radial artery perforation during catheterization. Nine patients with iatrogenic radial artery perforation were managed conservatively by inserting a long arterial sheath in the damaged radial artery up to the brachial artery, after which the diagnostic and/or interventional procedures that had motivated transradial catheterization were completed via the protected radial artery. Radial angiography performed immediately thereafter showed no extravasation, and no major vascular complications developed during follow‐up. The day after the procedure, two patients had asymptomatic radial occlusion, but the other seven patients had normal radial pulses and reversed Allen test responses showing normal perfusion. A conservative management technique, installation of a long arterial sheath not only promotes resolution of iatrogenic radial artery perforation but also allows the procedures motivating catheterization to be completed transradially. Catheter Cardiovasc Interv 2004;61:74–78.Keywords
This publication has 13 references indexed in Scilit:
- Coronary angiography through the radial or the femoral approach: The CARAFE studyCatheterization and Cardiovascular Interventions, 2001
- Loops and transradial approach in coronary diagnosis and interventionCatheterization and Cardiovascular Interventions, 2000
- Vascular complications and clinical outcome after coronary angioplasty with platelet IIb/IIIa receptor blockade. Comparison of transradial vs transfemoral arterial accessEuropean Heart Journal, 2000
- Anatomic variations of the radial artery in patients undergoing transradial coronary interventionCatheterization and Cardiovascular Interventions, 2000
- Effect of transradial access on quality of life and cost of cardiac catheterization: A randomized comparisonAmerican Heart Journal, 1999
- Stenting in acute coronary syndromes: a comparison of radial versus femoral access sitesJournal of the American College of Cardiology, 1998
- Coronary angiography from the radial artery – experience, complications and limitationsInternational Journal of Cardiology, 1998
- Radial approach: What about the learning curve?Catheterization and Cardiovascular Diagnosis, 1997
- A Randomized Comparison of Percutaneous Transluminal Coronary Angioplasty by the Radial, Brachial and Femoral Approaches: The Access StudyJournal of the American College of Cardiology, 1997
- Percutaneous radial artery approach for coronary angiographyCatheterization and Cardiovascular Diagnosis, 1989