Rupture of the Radial Artery after Brachiocephalic Stent Placement per Transradial Access

Dijk, Louisa J. van; Bijdevaate, Diederik; Moelker, Adriaan

doi:10.1016/j.jvir.2018.04.011

Cited by 4 publications

(2 citation statements)

References 4 publications

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“…Compared with the transitional radial artery access site, the DRA approach may reduce the rate of radial artery occlusion (RAO) and digital ischemia because of preserved blood flow in the superficial palmar arch. [ 10 ] Moreover, the use of left DRA on the AS access and intervention can supply a comfortable position for both the patient and the operator. [ 8 ] Recently, the distal radial approach is enthusiastically adopted by many operators for both left and right radial artery access.…”

Section: Introductionmentioning

confidence: 99%

Distal radial artery access is a safe and feasible technique in the anatomical snuffbox for visceral intervention

et al. 2023

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Regarding the site of arterial access during the intervention, transracial intervention can reduce the risk of bleeding and vessel-related complications as well as improve patient comfort. Importantly, the distal radial artery (DRA) approach may reduce the incidence of radial artery occlusion and digital ischemia, but the feasibility and safety of DRA in performing subdiaphragmatic vascular interventions remain unclear. From January 2018 to December 2019, 106 patients were admitted to our department for visceral angiography and intervention by left distal radial artery accessing in an anatomical snuffbox. In total, 152 times of vascular interventions were performed during this period. Patients demographics, procedure details, technical success, and access site-related complications were recorded and evaluated. The mean age was 58.9 (range 22-86) years. Males accounted for 80.2%. Thirty-five patients (33%) had 2 or more procedures via the DRA approach. Technical success was achieved for 96.1% of procedures (146 cases) and 3.9% of cases failed to perform the intended procedure via the DRA approach (6 cases). The 4-Fr sheath was used in 86.8% of cases, and the 5 Fr sheath was used in the rest of the 13.2% of procedures. The rate of asymptomatic radial artery occlusion was 5.7% (6 of 106 patients). No patient suffered from distal limb ischemia after a long-time follow-up. Eight patients suffered postoperative local pain, transient numbness, or local bruised in the anatomical snuffbox without major complications. Patients with postoperative complications recovered quickly by using nonsteroidal anti-inflammatory drugs or without further treatment. Left distal radial artery access is safe and feasible as a new technique for visceral angiography and intervention.

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Section: Introductionmentioning

confidence: 99%

Distal radial artery access is a safe and feasible technique in the anatomical snuffbox for visceral intervention

et al. 2023

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“…The radial artery is usually the first choice for arterial catheterization, because the radial and ulnar arteries have a rich lateral circulation that avoids ischemic necrosis of the anterior limb. However, obesity, ectopia, hypoperfusion (hypotension, low cardiac output), extreme-weak arterial beats, and arterial spasm can all lead to failed arterial catheterization [ 4 , 5 ]. In recent years, ultrasound guidance has been widely used in jugular catheterization, peripherally inserted central venous catheterization, and femoral venous catheterization, but there have been few applications reported in artery catheterization.…”

Section: Introductionmentioning

confidence: 99%

Effect of Transradial Artery Catheterization on Shock Patients

Chen

Huang

et al. 2022

Evidence-Based Complementary and Alternative Medicine

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Objective. This study aimed to investigate the clinical effect of ultrasound-guided transradial catheterization (TRC) for ICU patients with shock. Methods. 120 shock patients registered in the ICU of our hospital from January 2019 to June 2022 were selected for prospective study. The control group (60 patients) were treated with palpation-guided TRC. The observation group was treated with ultrasound-guided TRC and was divided into the internal puncture group (internal TRC) and external puncture group (external TRC), with 30 cases in each. The first attempt success rate, total success rate, operation duration, complication, measurement of radial artery, and VAS scores were compared in these groups. Results. The success rate was higher in the observation group than in the control group ( P < 0.05 ), and higher in the internal puncture group than in the external puncture group ( P < 0.05 ). The first attempt success rate was significantly higher in the observation group than in the control group ( P < 0.05 ), with no significant difference in between ( P > 0.05 ). The number of attempts and operation duration were lower in the observation group than in the control group ( P < 0.05 ), with significantly more operation duration in the internal puncture group than in the external puncture group ( P < 0.05 ) and no significant difference in the number of attempts (both P > 0.05 ). The complication rate was significantly lower in the observation group than in the control group ( P < 0.05 ) and there was no significant difference in between ( P > 0.05 ). The radial artery diameter, cross-sectional area, and depth from the skin in the observation group were larger than those in the control group ( P < 0.05 ) and there was no significant difference in between ( P > 0.05 ). At 1, 6, 24, and 48 h after the surgery, the observation group showed lower VAS scores than the control group ( P < 0.05 ). Conclusion. The ultrasound-guided TRC reduced the number of attempts, the complication rates, and the operation duration. For patients with shock, if Doppler ultrasound cannot detect blood flow, the success rate in the observation group was higher than that in the control group, and its advantage is worthy of promotion in severe patients.

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Distal Radial Artery Access for Noncoronary Endovascular Treatment Is a Safe and Feasible Technique

Dam

Geeraedts

Bijdevaate

et al. 2019

Journal of Vascular and Interventional Radiology

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Rupture of the Radial Artery after Brachiocephalic Stent Placement per Transradial Access

Cited by 4 publications

References 4 publications

Distal radial artery access is a safe and feasible technique in the anatomical snuffbox for visceral intervention

Distal radial artery access is a safe and feasible technique in the anatomical snuffbox for visceral intervention

Effect of Transradial Artery Catheterization on Shock Patients

Distal Radial Artery Access for Noncoronary Endovascular Treatment Is a Safe and Feasible Technique

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