title: [Vascular complications associated with radial artery access for cardiac catheterization].
abstract: Cardiac catheterization via the radial artery is associated with vascular complications, albeit less frequently than with the femoral approach. However, the management of these complications differs and is poorly described in the literature. We present our experience with vascular complications secondary to transradial access, with emphasis on their specific treatment. From January 2001 to October 2003 a total of 8159 cardiac catheterizations were performed, of which 3369 (41.3%) were done by radial artery approach. In 21 cases (0.06%) severe vascular hemorrhagic complications were observed (hematomas > 6 cm, n = 13; fistulas, n = 2; perforations, n = 5; pseudoaneurysm, n = 1). All patients were treated conservatively and none needed blood transfusions. A detailed description of the hemostasis techniques is provided.
authors.affiliation: Unidad de Cardiología Intervencionista, Hospital Meixoeiro, Vigo, Pontevedra, España. marcelo.sanmartin.fernandez@sergas.es
authors.forename: Marcelo
authors.initials: M
authors.lastname: Sanmartín
authors.forename: Diógenes
authors.initials: D
authors.lastname: Cuevas
authors.forename: Javier
authors.initials: J
authors.lastname: Goicolea
authors.forename: Rafael
authors.initials: R
authors.lastname: Ruiz-Salmerón
authors.forename: Mónica
authors.initials: M
authors.lastname: Gómez
authors.forename: Virginia
authors.initials: V
authors.lastname: Argibay
mesh_terms: D000328:Adult; D000368:Aged; D006328:Cardiac Catheterization / Q000009:adverse effects* / Q000379:methods; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D016491:Peripheral Vascular Diseases / Q000209:etiology* / Q000628:therapy; D011183:Postoperative Complications; D011677:Punctures / Q000009:adverse effects*; D017534:Radial Artery / Q000293:injuries*; D016896:Treatment Outcome