title: Successful transradial retrieval of an embolized guidewire during transradial vascular access.
abstract: Transradial catheterization is associated with lower complication rates; however limited information is available regarding techniques to overcome unusual complications. We present a case of a 58-year-old male with suspected non-ST-elevated myocardial infarction who underwent transradial coronary angiography complicated by guidewire embolization into the radial artery and subsequent access loss. Successful retrieval of the embolized guidewire was achieved by re-accessing the same radial artery and the use of a 2 mm gooseneck microsnare. This technique was safe and prevented the need for surgical intervention or femoral access for retrieval, which are commonly described in the literature and can result in additional complications.
authors.affiliation: Elaine and Sydney Sussman Catheterization Laboratories, University of Miami Hospital, University of Miami Miller School of Medicine, Miami, Florida.
authors.forename: Vishal
authors.initials: V
authors.lastname: Goyal
authors.forename: Gabriel A
authors.initials: GA
authors.lastname: Hernandez
authors.forename: Mauricio G
authors.initials: MG
authors.lastname: Cohen
mesh_terms: D006328:Cardiac Catheterization / Q000379:methods*; D017023:Coronary Angiography; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000628:therapy*; D020878:Device Removal / Q000379:methods*; D004621:Embolization, Therapeutic / Q000379:methods*; D006801:Humans; D008297:Male; D008875:Middle Aged; D017534:Radial Artery
keywords: brachial/radial/ulnar; catheterization; complications; diagnostic catheterization; foreign body retrieval; vascular access