Vascular Complications of Transradial Access for Cardiac Catheterization
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 m...
Saved in:
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Radcliffe Medical Media
2021-03-01
|
| Series: | US Cardiology Review |
| Online Access: | https://www.uscjournal.com/articleindex/usc.2020.23 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1850104239677767680 |
|---|---|
| author | Tanawan Riangwiwat James C Blankenship |
| author_facet | Tanawan Riangwiwat James C Blankenship |
| author_sort | Tanawan Riangwiwat |
| collection | DOAJ |
| description | 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. |
| format | Article |
| id | doaj-art-a28fe4a3e4d44dfdba9127a32a6fc04b |
| institution | DOAJ |
| issn | 1758-3896 1758-390X |
| language | English |
| publishDate | 2021-03-01 |
| publisher | Radcliffe Medical Media |
| record_format | Article |
| series | US Cardiology Review |
| spelling | doaj-art-a28fe4a3e4d44dfdba9127a32a6fc04b2025-08-20T02:39:22ZengRadcliffe Medical MediaUS Cardiology Review1758-38961758-390X2021-03-011510.15420/usc.2020.23Vascular Complications of Transradial Access for Cardiac CatheterizationTanawan Riangwiwat0James C Blankenship1Cardiology Department, Geisinger Medical Center, Danville, PACardiology Division, University of New Mexico, Albuquerque, NMTransradial 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.https://www.uscjournal.com/articleindex/usc.2020.23 |
| spellingShingle | Tanawan Riangwiwat James C Blankenship Vascular Complications of Transradial Access for Cardiac Catheterization US Cardiology Review |
| title | Vascular Complications of Transradial Access for Cardiac Catheterization |
| title_full | Vascular Complications of Transradial Access for Cardiac Catheterization |
| title_fullStr | Vascular Complications of Transradial Access for Cardiac Catheterization |
| title_full_unstemmed | Vascular Complications of Transradial Access for Cardiac Catheterization |
| title_short | Vascular Complications of Transradial Access for Cardiac Catheterization |
| title_sort | vascular complications of transradial access for cardiac catheterization |
| url | https://www.uscjournal.com/articleindex/usc.2020.23 |
| work_keys_str_mv | AT tanawanriangwiwat vascularcomplicationsoftransradialaccessforcardiaccatheterization AT jamescblankenship vascularcomplicationsoftransradialaccessforcardiaccatheterization |