Radial artery spasm and perforation: simple solutions for challenging cases.
Transradial access for percutaneous coronary intervention and diagnostic coronary angiography has been increasingly utilised in the routine practice in most catheterisation laboratories as it reduces the incidence of major access site complications such as bleeding and haematoma. Radial artery spasm with or without perforation is one of the more frequent reasons for converting from radial to femoral access. In this article, the balloon-assisted technique and Sheathless EauCath (Asahi Intecc, Aichi, Japan) are demonstrated to overcome radial artery spasm with associated significant perforation in two cases.
Department of Cardiology, Wellington Hospital, New Zealand; Department of Cardiology, Khoo Teck Puat Hospital, Singapore.
Michael
M
Liang
Department of Cardiology, Waikato Hospital, New Zealand.
Gerard
G
Devlin
Department of Cardiology, Wellington Hospital, New Zealand. Electronic address: scott.harding@ccdhb.org.nz.
Scott A
SA
Harding
D000368:Aged; D015906:Angioplasty, Balloon, Coronary / Q000009:adverse effects* / Q000379:methods; D017023:Coronary Angiography / Q000379:methods; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000628:therapy*; D054855:Drug-Eluting Stents; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D061214:Patient Safety; D017534:Radial Artery / Q000000981:diagnostic imaging / Q000293:injuries*; D019233:Retreatment; D018570:Risk Assessment; D012494:Sampling Studies; D012720:Severity of Illness Index; D013035:Spasm / Q000000981:diagnostic imaging / Q000209:etiology; D016896:Treatment Outcome; D014654:Vascular Patency / Q000502:physiology; D057772:Vascular System Injuries / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*
Balloon assisted technique; Coronary intervention; Radial artery perforation; Radial artery spasm; Sheathless; Sheathless EauCath