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 Cardioljournal_title
Acta cardiologicaauthors
Skvaril J,Kockova R,Danickova K,Sedlon Pdoi
10.1080/ac.67.3.2160731subject
Has Abstractpub_date
2012-06-01 00:00:00pages
367-70issue
3eissn
0001-5385issn
1784-973Xjournal_volume
67pub_type
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