Radial catheterization contraindication
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
Overview
Contraindications to Utilization of the Radial Approach to Cardiac Catheterization
- Cellulitis or other infections over the radial artery
- Absence of palpable radial artery pulse
- Abnormal Allen test, indicating that only one artery supplies the hand
- Coagulation defects (relative)
- Patients who may require intra-aortic balloon pump counterpulsation (IABP)
- Devices that are not compatible in 7F or smaller sheaths such as TEC, larger Rotoblator burrs, certain stents
- Presence of upper extremity peripheral vascular disease such as Buerger's disease and severe Raynaud's disease
- Congenital abnormalities of upper limb vasculature such as extreme tortuosity, anomalous take off of the radial artery, or severe atherosclerosis
- Abnormal oximetry/ plethysmography