Arterial Injury During Radial Percutaneous Coronary Intervention



Compared to the transfemoral (TF) route, percutaneous cardiac procedures performed via a transradial (TR) approach are associated with significantly lower morbidity and are more cost-effective. Despite these practical advantages, TR procedures may be associated with vascular injuries and complications. The common complications encountered are RA spasm and RA occlusion. Rarely perforation or dissection of the RA, pseudoaneurysm, arteriovenous fistula formation and compartment syndrome can occur. Although all of these complications have been reported they are infrequent with the TR approach. Most of these are preventable with good patient preparation and optimal radial technique. When complications do occur they are usually not life or limb threatening and can be managed conservatively.


Radial injuries Radial complications Access site complications 


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© Springer-Verlag London 2016

Authors and Affiliations

  1. 1.Department of Cardiovascular MedicineUniversity Hospitals of Coventry and WarwickshireCoventryUK
  2. 2.Department of CardiologyUniversity Hospital of North Staffordshire, University Hospital of North Staffordshire NHS TrustStoke-on-TrentUK

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