Update on complications and their management during transradial cardiac catheterization

Aoun, Joe; Hattar, Laith; Dgayli, Khabib; Wong, Garrett B.; Bhat, Tariq

doi:10.1080/14779072.2019.1675510

Cited by 35 publications

(47 citation statements)

References 119 publications

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“…In 2018, it was recommended by the ESC/EACTS guidelines as the preferred approach in myocardial revascularization procedures [4]. Although infrequent, vascular complications associated with this approach remain, such as radial artery injury, radial artery spasm, radial artery occlusion (RAO), pseudoaneurysm, arteriovenous fistula, nerve damage and complex regional pain syndrome [5]. Although the transulnar artery approach, as an alternative approach, has the same safety and efficacy in cardiac catheterization as TRA, this access is not preferred because of some drawbacks, such as requiring more wrist rotation during the procedure, which increases the patient discomfort [6].…”

Section: Introductionmentioning

confidence: 99%

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Distal transradial access: a review of the feasibility and safety in cardiovascular angiography and intervention

Cai

Huang

Feng

et al. 2020

BMC Cardiovasc Disord

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Background: Transradial access (TRA) has been considered as the default choice in cardiac catheterization. Although infrequent, vascular complications of this approach remain. Recently, the distal transradial approach (dTRA) in cardiac catheterization was reported by interventionalists. Methods: We retrieved the relevant literatures and reviewed the safety and feasibility of this novel approach in cardiac catheterization. Results: The dTRA for cardiac intervention has superior safety and satisfaction. As a novel approach for cardiac catheterization, access related complications should also be considered by operators, such as RAO, radial spasm, bleeding and haematoma, and injury of the superficial branch of the radial nerve. Conclusions: The dTRA in cardiovascular angiography and intervention was safe and feasible.

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Section: Introductionmentioning

confidence: 99%

“…Currently, TRA has become the most favourable and the default approach for cardiac catheterization. After three decades of application, several kinds of complications have been reported [5]. Among them, RAO is one of the most important complications.…”

Section: Introductionmentioning

confidence: 99%

Distal transradial access: a review of the feasibility and safety in cardiovascular angiography and intervention

Cai

Huang

Feng

et al. 2020

BMC Cardiovasc Disord

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“…However, the use of TRA is not free of limitations; many complications have been associated with the TRA due to small diameter, such as radial artery occlusion (RAO) (The reported incidence of RAO is highly variable in the range of 2%-10%, and a meta-analysis by Rashid showed that the RAO incidence within 24 hours was 7.7%), radial artery spasm, radial arterial perforation, radial artery pseudoaneurysm, arteriovenous fistula, bleeding, nerve damage, and complex regional pain syndrome [3,4].…”

Section: Introductionmentioning

confidence: 99%

Distal Radial Artery Access: The Future of Cardiovascular Intervention

Nairoukh¹,

Jahangir²,

Adjepong³

et al. 2020

Cureus

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Access sites for coronary intervention have been changing over the last several decades, from the femoral artery to the radial artery and then to the distal radial artery. Distal radial access, which was first used in 2017 and is still not recommended by the guidelines, shows a higher success rate and less complications than other sites; therefore, it might be the future for cardiovascular intervention. In this study, we reviewed almost all of the articles that are related to the distal radial access, from 2017 to present, and summarized the technique, success rate, advantages, disadvantages, and noncardiac use of this access site.

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“…9 Por isso, o encerramento vascular ao final do procedimento hemodinâmico, compreendido pela compressão manual e/ou por meio do uso de dispositivos de hemostasia, deve ser realizado com eficácia e efetividade. [6][7]10 Estudos…”

Section: Resumunclassified

Complicações vasculares e fatores relacionados a sua ocorrência após procedimentos hemodinâmicos percutâneos

et al. 2020

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Objetivo: investigar as complicações vasculares em pacientes submetidos a procedimentos hemodinâmicos percutâneos e identificar fatores relacionados a sua ocorrência. Método: estudo retrospectivo em um hospital cardiológico, com pacientes que evoluíram com danos vasculares, entre janeiro de 2015 e dezembro de 2016. Os dados foram obtidos pela coleta em prontuários e analisados de forma descritiva e analítica. Resultados: foram incluídos 93 pacientes, a maioria idosos, do sexo masculino e portadores de hipertensão. A taxa de complicação vascular foi de 3%, o hematoma local foi o mais frequente (86%). O sexo feminino foi associado à ocorrência de danos vasculares mais graves como o hematoma retroperitoneal e o pseudoaneurisma (p=0,04). Conclusão: dentre as complicações vasculares, o hematoma foi o mais frequente e o sexo feminino foi fator preditor de risco, associado a injúrias mais graves. Reconhecer os fatores preditores de risco auxilia a assistência direcionada às necessidades individuais do paciente.

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Update on complications and their management during transradial cardiac catheterization

Cited by 35 publications

References 119 publications

Distal transradial access: a review of the feasibility and safety in cardiovascular angiography and intervention

Distal transradial access: a review of the feasibility and safety in cardiovascular angiography and intervention

Distal Radial Artery Access: The Future of Cardiovascular Intervention

Complicações vasculares e fatores relacionados a sua ocorrência após procedimentos hemodinâmicos percutâneos

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