title: Beyond the bend: a literature review and case report of radial artery loop.
abstract: Transradial cardiac catheterization is an exciting technique that has many advantages over the traditional femoral approach. Most importantly it is a safe option for PCI with potential same day discharge for uncomplicated cases. Despite its advantages, some challenges may be encountered with the transradial approach. After arterial access and spasm, vascular artery anomalies constitute a significant number of procedural failure. Radial artery anomalies are encountered in greater than 17% of cases performed in literature. In particular, radial loop is an important cause of transradial procedural failure. We present a literature review and a case from our institution and outline techniques in order to traverse the loop and make the transradial approach a success.
authors: Department of Internal Medicine, Division of Cardiology, University of Nebraska Medical Center, 982265 Nebraska Medical Center, Omaha, NE 68198-2265, USA. rsarji@unmc.edu
authors: Rawa
authors: R
authors: Sarji
authors: Nattapong
authors: N
authors: Sricharoen
mesh_terms: D000792:Angiography; D015906:Angioplasty, Balloon, Coronary / Q000295:instrumentation* / Q000379:methods*; D005260:Female; D006801:Humans; D008875:Middle Aged; D017202:Myocardial Ischemia / Q000628:therapy*; D017534:Radial Artery / Q000002:abnormalities*; D016896:Treatment Outcome