title: Radial artery occlusion: preventing insult to injury.
abstract: Intra-arterial nitroglycerin prior to transradial sheath removal may reduce the incidence of radial artery occlusion (RAO). Operators must observe careful attention to all aspects of transradial catheterization, particularly patent hemostasis; as well as independently monitor the institutional incidence of RAO to prompt improvements in practice. Future studies on the impact of pre-puncture ultrasound, novel sheaths, hemostatic devices, and potent oral and intravenous antithrombotic therapy on 30-day RAO diagnosed by ultrasound may allow further reduction of RAO in a real-world practice.
authors: Icahn School of Medicine at Mount Sinai, New York, New York.
authors: Jaya
authors: J
authors: Chandrasekhar
authors: Roxana
authors: R
authors: Mehran
mesh_terms: D001157:Arterial Occlusive Diseases / Q000517:prevention & control*; D003324:Coronary Artery Disease / Q000601:surgery*; D005260:Female; D006801:Humans; D008297:Male; D005996:Nitroglycerin / Q000008:administration & dosage*; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D011182:Postoperative Care / Q000379:methods*
chemical_list: D005996:Nitroglycerin