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Overcoming vascular anatomic challenges to cardiac catheterization by the radial artery approach: Specific techniques to improve success
Author(s) -
Esente Paolo,
Giambartolomei Alessandro,
Simons Alan J.,
Levy Carlton,
Caputo Ronald P.
Publication year - 2002
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.10233
Subject(s) - medicine , cardiac catheterization , radial artery , stenosis , tortuosity , cardiology , artery , radiology , geotechnical engineering , porosity , engineering
Abstract Anatomical variations in the peripheral vasculature can result in decreased procedural success rates for cardiac catheterization performed through the radial artery approach. We describe four categories of vascular challenges encountered in our catheterization laboratory: severe spasm, severe tortuosity, vascular stenosis, and congenital anatomical variations (e.g., accessory radial artery, radioulnar loop). For each situation, we provide a case report illustrating techniques that allowed for successful completion of the case. Cathet Cardiovasc Intervent 2002;56:207–211. © 2002 Wiley‐Liss, Inc.