Radial catheterization pitfalls: Difference between revisions
Jump to navigation
Jump to search
No edit summary |
No edit summary |
||
Line 3: | Line 3: | ||
{{CMG}} | {{CMG}} | ||
==Overview== | ==Overview== | ||
==Potential Pitfalls of the Radial Approach to Cardiac Catheterization== | ==Potential Pitfalls of the Radial Approach to Cardiac Catheterization== |
Revision as of 20:05, 10 November 2013
Radial artery cathetarization Microchapters |
Case Studies |
---|
Radial catheterization pitfalls On the Web |
American Roentgen Ray Society Images of Radial catheterization pitfalls |
Directions to Hospitals Treating Radial artery cathetarization |
Risk calculators and risk factors for Radial catheterization pitfalls |
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)