Symptomatic radial artery thrombosis successfully treated with endovascular approach via femoral access route.
Radial access has been increasingly utilized for coronary intervention due to higher safety profile in comparison to femoral access site with lower bleeding rate. Radial artery occlusion is not uncommon with radial access site. This usually does not lead to any harm due to ulnar artery collaterals that are sufficient to prevent hand ischemia and is usually left alone. However, in the case of significant hand ischemia, treatment is often necessary. We are reporting an interesting case of symptomatic radial artery thrombosis leading to arm ischemia that was successfully treated percutaneously using femoral access. Using femoral access for radial artery intervention has not been reported previously. This case is followed by review of the literature.
Department of Internal Medicine, University of Arizona.
Ahmed Khurshid
AK
Pasha
Heart and Vascular Institute, Detroit, MI; Division of Cardiology, Wayne State University, Detroit, MI.
Mahir D
MD
Elder
Department of Internal Medicine, Texas Tech University Health Science Center at Permian Basin, TX.
Umer Ejaz
UE
Malik
Department of Internal Medicine, University of Pittsburg Medical Center, Mercy Hospital, Pittsburg, PA.
Abdullah Mian
AM
Khalid
Department of Internal Medicine, St. Joseph Mercy Hospital, Ann Arbor, MI.
Zeeshan
Z
Noor
Department of Internal Medicine, University of Arizona; Sarver Heart Center, University of Arizona; CareMore HealthCare, AZ. Electronic address: rmova@aol.com.
Mohammad Reza
MR
Movahed
D000328:Adult; D006328:Cardiac Catheterization; D017023:Coronary Angiography / Q000379:methods; D005260:Female; D005263:Femoral Artery; D006801:Humans; D007511:Ischemia / Q000175:diagnosis / Q000628:therapy; D016491:Peripheral Vascular Diseases / Q000628:therapy*; D017534:Radial Artery; D013923:Thromboembolism / Q000628:therapy*
Catheter based intervention; Radial artery access complication; Radial artery thrombosis; Thrombectomy; Thrombolysis; Thrombolytic therapy; Thrombus removal