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Avdikos G, Karatasakis A, Tsoumeleas A, et al. Radial artery occlusion after transradial coronary catheterization. Cardiovasc Diagn Ther. 2017;7(3):305-316doi: 10.21037/cdt.2017.03.14.
Avdikos, G., Karatasakis, A., Tsoumeleas, A., Lazaris, E., Ziakas, A., & Koutouzis, M. (2017). Radial artery occlusion after transradial coronary catheterization. Cardiovascular diagnosis and therapy, 7(3), 305-316. https://doi.org/10.21037/cdt.2017.03.14
Avdikos, Grigorios, et al. "Radial artery occlusion after transradial coronary catheterization." Cardiovascular diagnosis and therapy vol. 7,3 (2017): 305-316. doi: https://doi.org/10.21037/cdt.2017.03.14
Avdikos G, Karatasakis A, Tsoumeleas A, Lazaris E, Ziakas A, Koutouzis M. Radial artery occlusion after transradial coronary catheterization. Cardiovasc Diagn Ther. 2017 Jun;7(3):305-316. doi: 10.21037/cdt.2017.03.14. PMID: 28567356; PMCID: PMC5440258.
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Cardiovasc Diagn Ther. 2017 Jun;7(3):305-316. doi: 10.21037/cdt.2017.03.14.

Radial artery occlusion after transradial coronary catheterization.

Cardiovascular diagnosis and therapy

Grigorios Avdikos, Aris Karatasakis, Andreas Tsoumeleas, Efstathios Lazaris, Antonios Ziakas, Michael Koutouzis

Affiliations

  1. Second Department of Cardiology, Hellenic Red Cross Hospital of Athens, Athens, Greece.
  2. University of Texas, Southwestern Medical Center, Dallas, Texas, USA.
  3. First Department of Cardiology, AHEPA University Hospital, Thessaloniki, Greece.

PMID: 28567356 PMCID: PMC5440258 DOI: 10.21037/cdt.2017.03.14

Abstract

The transradial approach (TRA) for coronary angiography and interventions is increasingly utilized around the world. Radial artery occlusion (RAO) is the most common significant complication after transradial catheterization, with incidence varying between 1% and 10%. Although RAO is rarely accompanied by hand ischemia, it is an important complication because it prohibits future transradial access and radial artery utilization as a conduit for coronary artery bypass grafting or arteriovenous fistula formation. In this review, we discuss factors predicting the occurrence of RAO, aspects of accurate and prompt recognition, methods that contribute to its prevention and possible treatment options.

Keywords: Radial approach; hemostasis; radial artery occlusion (RAO)

Conflict of interest statement

Conflicts of Interest: The authors have no conflicts of interest to disclosure.

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