Radial catheterization pitfalls: Difference between revisions
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Revision as of 20:05, 10 November 2013
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Potential Pitfalls of the Radial Approach to Cardiac Catheterization
- Spasm
- Vessel tortuosity
- Guide catheter support and selection may be reduced
- Loss of radial artery pulse in 4% of cases
- Potential increase in the duration of the procedure and fluroscopy time
- The radial artery has been instrumented should there be a desire to use it as a conduit for CABG
- It is the second and not the first approach learned by trainees
- There is a learning curve in treating spasm, navigating anatomy, and manipulating catheters
- Anatomically there can be a loop in the artery near the brachial in about 10% of cases
- Smaller sheaths are required (4-8F)