Premium
Sterile inflammation associated with transradial catheterization and hydrophilic sheaths
Author(s) -
Kozak Mark,
Adams David R.,
Ioffreda Michael D.,
Nickolaus Michelle J.,
Seery Thomas J.,
Chambers Charles E.,
Ettinger Steven M.,
McNulty Patrick H.,
Gilchrist Ian C.
Publication year - 2003
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.10522
Subject(s) - medicine , inflammation , catheter , surgery , abscess , cardiac catheterization
In 1999, we noted the development of inflammation and/or abscesses at the site of radial access in a group of patients. Over a 3‐year period, we noted this inflammation in 33 patients out of 2,038 (1.6%) who had catheterization via the radial approach. The radial abscesses occurred in 30 patients out of 1,063 (2.8%) in whom we could confirm the use of a hydrophilic‐coated sheath, but in no patient for whom we can document that an uncoated sheath was used. No infectious agent could be implicated, and the time course for the development of the abscess, typically 2 to 3 weeks, seemed long for a bacterial infection. Later patients had biopsies, and granulomatous reactions were seen in most. Additionally, a few of the biopsies showed an amorphous extravascular substance consistent with the catheter coating. All patients had good long‐term outcomes. Cathet Cardiovasc Intervent 2003;59:207–213. © 2003 Wiley‐Liss, Inc.