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...

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Autores principales:	Tanawan Riangwiwat, James C Blankenship
Formato:	article
Lenguaje:	EN
Publicado:	Radcliffe Medical Media 2021
Materias:	Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/a28fe4a3e4d44dfdba9127a32a6fc04b
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spelling	oai:doaj.org-article:a28fe4a3e4d44dfdba9127a32a6fc04b2021-12-04T16:03:58ZVascular Complications of Transradial Access for Cardiac Catheterization10.15420/usc.2020.231758-390X1758-3896https://doaj.org/article/a28fe4a3e4d44dfdba9127a32a6fc04b2021-03-01T00:00:00Zhttps://www.uscjournal.com/articleindex/usc.2020.23https://doaj.org/toc/1758-3896https://doaj.org/toc/1758-390XTransradial 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.Tanawan RiangwiwatJames C BlankenshipRadcliffe Medical MediaarticleDiseases of the circulatory (Cardiovascular) systemRC666-701ENUS Cardiology Review , Vol 15, Iss , Pp - (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Diseases of the circulatory (Cardiovascular) system RC666-701 Tanawan Riangwiwat James C Blankenship Vascular Complications of Transradial Access for Cardiac Catheterization
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
author	Tanawan Riangwiwat James C Blankenship
author_facet	Tanawan Riangwiwat James C Blankenship
author_sort	Tanawan Riangwiwat
title	Vascular Complications of Transradial Access for Cardiac Catheterization
title_short	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_sort	vascular complications of transradial access for cardiac catheterization
publisher	Radcliffe Medical Media
publishDate	2021
url	https://doaj.org/article/a28fe4a3e4d44dfdba9127a32a6fc04b
work_keys_str_mv	AT tanawanriangwiwat vascularcomplicationsoftransradialaccessforcardiaccatheterization AT jamescblankenship vascularcomplicationsoftransradialaccessforcardiaccatheterization
_version_	1718372690590433280

Vascular Complications of Transradial Access for Cardiac Catheterization

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