What happens if radial artery is occluded?

Moreover, once the artery is occluded, it cannot be used as an access site for future procedures or as an arterial conduit for bypass surgery. Furthermore, radial artery occlusion also limits the use of the ipsilateral ulnar artery, since the use of that artery would further increase the risk of hand ischemia.

How is radial artery occlusion treated?

Once radial artery occlusion is confirmed by ultrasound, another treatment option is administration of systemic anticoagulation, such as low-molecular-weight heparin for 4 weeks. Low-molecular-weight heparin treatment increases the patency rate of the radial artery up to 86% after 4 weeks of treatment.

What is the most frequent complication associated with radial artery access?

The most frequently encountered complication after localized hematoma was perforation of the radial or humeral artery by the guide used to advance the catheters.

What are the complications of radial artery puncture?

DISCUSSION

• Radial artery puncture is frequently performed in many EDs.
• Common complications after radial artery cannulation include temporary radial artery occlusion (19.7%), hematoma (14.4%), infection (0.72%), hemorrhage (0.53%), and bacteremia (0.13%).

What are the side effects of radial artery occlusion?

The most common complications were hematoma (n = 39) and radial artery occlusion (n = 28). Other complications included pseudoaneurysm (n = 7), arteriovenous fistula (n = 3), carpal tunnel syndrome (n = 4), arterial perforation (n = 3), persistent vasospasm (n = 2), and compartment syndrome (n = 1).

What are the results of radial artery thrombosis?

The primary endpoint was the patency rate of the radial artery at 4 weeks of follow-up. Results: Radial artery thrombosis was found in 51 of 488 (10.5%) patients 1 day after transradial cardiac catheterization. 30 (58.8%) patients showed symptoms on access site, whereas 21 (41.2%) did not show any symptoms.

Are there any complications after radial artery catheterization?

The frequency of upper-limb complications after radial artery catheterization is small. They include arterial occlusion, bleeding, compartment syndrome, arteriovenous fistula, and pseudoaneurysm. Most complications presented within 1 week of the procedure and occurred more frequently in the female sex.

How to manage acute upper-limb complications following radial artery?

The mode of management was physician-dependent and typically involved occluding the ulnar artery with a transradial (TR Band, Terumo Corporation, Tokyo, Japan) for 1 hour and providing pain medication, anti-inflammatory medication, elevation, and a compression wrap. 7 All patients managed nonsurgically had resolution of symptoms.