Transradial Artery Access Complications

Yader Sandoval, Malcolm R. Bell, Rajiv Gulati

Research output: Contribution to journalArticle

Abstract

Transradial access (TRA) is favored over transfemoral access for performing coronary angiography and percutaneous coronary intervention due to the reduced risk for vascular and bleeding complications and the documented survival benefit in ST-segment-elevation myocardial infarction patients who undergo primary percutaneous coronary intervention. TRA complications can be categorized as intra- or postprocedural and further categorized as related to bleeding or nonbleeding issues. Major intra- and postprocedural complications such as radial artery perforation and compartment syndrome are rare following TRA. Their occurrence, however, can be associated with morbid consequences, including requirement for surgical intervention if not identified and treated promptly. Nonbleeding complications such as radial artery spasm and radial artery occlusion are typically less morbid but occur much more frequently. Strategies to prevent TRA complications are essential and include the use of contemporary access techniques that limit arterial injury. This document summarizes contemporary techniques to prevent, identify, and manage TRA complications.

Original languageEnglish (US)
Pages (from-to)e007386
JournalCirculation. Cardiovascular interventions
Volume12
Issue number11
DOIs
StatePublished - Nov 1 2019

Fingerprint

Radial Artery
Arteries
Percutaneous Coronary Intervention
Hemorrhage
Compartment Syndromes
Spasm
Coronary Angiography
Blood Vessels
Survival
Wounds and Injuries

Keywords

  • hemorrhage
  • humans
  • muscle cramp
  • radial artery
  • spasm

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

Transradial Artery Access Complications. / Sandoval, Yader; Bell, Malcolm R.; Gulati, Rajiv.

In: Circulation. Cardiovascular interventions, Vol. 12, No. 11, 01.11.2019, p. e007386.

Research output: Contribution to journalArticle

Sandoval, Yader ; Bell, Malcolm R. ; Gulati, Rajiv. / Transradial Artery Access Complications. In: Circulation. Cardiovascular interventions. 2019 ; Vol. 12, No. 11. pp. e007386.
@article{87bbe1bdb1944a7ea958632d655f8efb,
title = "Transradial Artery Access Complications",
abstract = "Transradial access (TRA) is favored over transfemoral access for performing coronary angiography and percutaneous coronary intervention due to the reduced risk for vascular and bleeding complications and the documented survival benefit in ST-segment-elevation myocardial infarction patients who undergo primary percutaneous coronary intervention. TRA complications can be categorized as intra- or postprocedural and further categorized as related to bleeding or nonbleeding issues. Major intra- and postprocedural complications such as radial artery perforation and compartment syndrome are rare following TRA. Their occurrence, however, can be associated with morbid consequences, including requirement for surgical intervention if not identified and treated promptly. Nonbleeding complications such as radial artery spasm and radial artery occlusion are typically less morbid but occur much more frequently. Strategies to prevent TRA complications are essential and include the use of contemporary access techniques that limit arterial injury. This document summarizes contemporary techniques to prevent, identify, and manage TRA complications.",
keywords = "hemorrhage, humans, muscle cramp, radial artery, spasm",
author = "Yader Sandoval and Bell, {Malcolm R.} and Rajiv Gulati",
year = "2019",
month = "11",
day = "1",
doi = "10.1161/CIRCINTERVENTIONS.119.007386",
language = "English (US)",
volume = "12",
pages = "e007386",
journal = "Circulation: Cardiovascular Interventions",
issn = "1941-7640",
publisher = "Lippincott Williams and Wilkins",
number = "11",

}

TY - JOUR

T1 - Transradial Artery Access Complications

AU - Sandoval, Yader

AU - Bell, Malcolm R.

AU - Gulati, Rajiv

PY - 2019/11/1

Y1 - 2019/11/1

N2 - Transradial access (TRA) is favored over transfemoral access for performing coronary angiography and percutaneous coronary intervention due to the reduced risk for vascular and bleeding complications and the documented survival benefit in ST-segment-elevation myocardial infarction patients who undergo primary percutaneous coronary intervention. TRA complications can be categorized as intra- or postprocedural and further categorized as related to bleeding or nonbleeding issues. Major intra- and postprocedural complications such as radial artery perforation and compartment syndrome are rare following TRA. Their occurrence, however, can be associated with morbid consequences, including requirement for surgical intervention if not identified and treated promptly. Nonbleeding complications such as radial artery spasm and radial artery occlusion are typically less morbid but occur much more frequently. Strategies to prevent TRA complications are essential and include the use of contemporary access techniques that limit arterial injury. This document summarizes contemporary techniques to prevent, identify, and manage TRA complications.

AB - Transradial access (TRA) is favored over transfemoral access for performing coronary angiography and percutaneous coronary intervention due to the reduced risk for vascular and bleeding complications and the documented survival benefit in ST-segment-elevation myocardial infarction patients who undergo primary percutaneous coronary intervention. TRA complications can be categorized as intra- or postprocedural and further categorized as related to bleeding or nonbleeding issues. Major intra- and postprocedural complications such as radial artery perforation and compartment syndrome are rare following TRA. Their occurrence, however, can be associated with morbid consequences, including requirement for surgical intervention if not identified and treated promptly. Nonbleeding complications such as radial artery spasm and radial artery occlusion are typically less morbid but occur much more frequently. Strategies to prevent TRA complications are essential and include the use of contemporary access techniques that limit arterial injury. This document summarizes contemporary techniques to prevent, identify, and manage TRA complications.

KW - hemorrhage

KW - humans

KW - muscle cramp

KW - radial artery

KW - spasm

UR - http://www.scopus.com/inward/record.url?scp=85074429031&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85074429031&partnerID=8YFLogxK

U2 - 10.1161/CIRCINTERVENTIONS.119.007386

DO - 10.1161/CIRCINTERVENTIONS.119.007386

M3 - Article

C2 - 31672030

AN - SCOPUS:85074429031

VL - 12

SP - e007386

JO - Circulation: Cardiovascular Interventions

JF - Circulation: Cardiovascular Interventions

SN - 1941-7640

IS - 11

ER -