title: A twist in the transradial coronary catheterisation.
abstract: The transradial approach for coronary angiography was first described in 1989. With the advent of modern equipment and improved technology it has recently gained significant interest amongst interventional cardiologists. As compared to femoral access, the radial approach has the major advantages of lower access site complication rates, cost-effectiveness, and shorter hospital stays. Further clinical benefits of lower morbidity and cardiac mortality in patients with ST-elevation myocardial infarction have been shown recently. Rare vascular complications may include radial artery spasm, dissection, occlusion, perforation or compartment syndrome. Here, we present two unusual cases of an entrapped catheter in the radial artery and their outcomes.
authors.affiliation: Department of Cardiology, The Northern Hospital, Victoria, Australia; Department of Medicine, University of Melbourne, Australia. Electronic address: hissper@me.com.
authors.forename: Muhammad
authors.initials: M
authors.lastname: Asrar ul Haq
authors.affiliation: Department of Cardiology, St Vincent Hospital, Victoria, Australia.
authors.forename: Paul
authors.initials: P
authors.lastname: Williams
authors.affiliation: Department of Cardiology, The Northern Hospital, Victoria, Australia; Department of Medicine, University of Melbourne, Australia.
authors.forename: Vivek
authors.initials: V
authors.lastname: Mutha
authors.affiliation: Department of Medicine, University of Melbourne, Australia; Department of Cardiology, St Vincent Hospital, Victoria, Australia.
authors.forename: Andrew M
authors.initials: AM
authors.lastname: Wilson
authors.affiliation: Department of Cardiology, The Northern Hospital, Victoria, Australia; Department of Medicine, University of Melbourne, Australia; Department of Cardiology, St Vincent Hospital, Victoria, Australia.
authors.forename: Peter
authors.initials: P
authors.lastname: Barlis
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D006328:Cardiac Catheterization / Q000009:adverse effects*; D017023:Coronary Angiography; D005260:Female; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000601:surgery*; D062645:Percutaneous Coronary Intervention / Q000009:adverse effects*; D017534:Radial Artery; D014661:Vasoconstriction
keywords: Acute coronary syndrome; Coronary angiography; Entrapment; Myocardial infarction; Transradial catheterisation