Chronic radial artery occlusion after transradial catheterization. Re-canalization via an ipsilateral ulnar artery.

Abstract:

:Transradial approach to coronary angiography is a progressive and increasingly more often used technique. Apart from its advantages, radial artery occlusion (RAO) represents the most serious drawback. Re-canalization of an iatrogenic RAO, although asymptomatic in the majority of cases, remains a discussed and challenging topic. Besides its clear indications in symptomatic patients, it still remains questionable whether to perform this procedure in order to enable future repeated cannulations using the same access site and preserving the other remaining sites. For this particular reason we performed an antegrade re-canalization of an unrecognized RAO, likely a result of a previous transradial approach intervention. After a failed radial approach, the intervention was successfully performed via an ipsilateral ulnar artery. Following an uncomplicated coronary re-catheterization, RAO was angiographically diagnosed and re-canalized via the same (ulnar) access site using standard coronary equipment. Radial and ulnar artery patency were examined and checked on the following day and one month later using duplex ultrasonography.

journal_name

Acta Cardiol

journal_title

Acta cardiologica

authors

Skvaril J,Kockova R,Danickova K,Sedlon P

doi

10.1080/ac.67.3.2160731

subject

Has Abstract

pub_date

2012-06-01 00:00:00

pages

367-70

issue

3

eissn

0001-5385

issn

1784-973X

journal_volume

67

pub_type

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