Update on complications and their management during transradial cardiac catheterization.

Update on complications and their management during transradial cardiac catheterization. Expert Rev Cardiovasc Ther. 2019 Oct 14;: Authors: Aoun J, Hattar L, Dgaily K, Wong G, Bhat T Abstract Introduction: Transradial cardiac catheterization (TRA) was introduced in 1989 and has been universally used as an alternative approach to the traditional transfermoral access (TFA). Complications of TRA include asymptomatic and less likely symptomatic radial artery occlusion, nonocclusive radial artery injury, radial artery spasm, radial arterial perforation, radial artery pseudoaneurysm, arteriovenous fistula, granuloma formation, access-site bleeding, nerve damage, complex regional pain syndrome along with other rare complications. Areas covered: A literature search was performed using MedLine, PubMed, and Google Scholar (dating to 05/1/2019). Authors reviewed all articles related to transradial artery catheterization, its complications, as well as novel techniques for their management. The article provides insight on the incidence, risk factors and prevention of such complications along with a description of usual and newer techniques to decrease morbidity. Expert opinion: With increasing experience, TRA complication rate is decreasing and new very uncommon complications are being described. A "radial first" approach should be implemented in all catheterization laboratories and a physician's familiarity with minor and major complications is ...
Source: Expert Review of Cardiovascular Therapy - Category: Cardiology Tags: Expert Rev Cardiovasc Ther Source Type: research