Transradial access for percutaneous coronary intervention and diagnostic coronary
angiography has been increasingly utilised in the routine practice in most catheterisation
laboratories as it reduces the incidence of major access site complications such as
bleeding and haematoma. Radial artery spasm with or without perforation is one of
the more frequent reasons for converting from radial to femoral access. In this article,
the balloon-assisted technique and Sheathless EauCath (Asahi Intecc, Aichi, Japan)
are demonstrated to overcome radial artery spasm with associated significant perforation
in two cases.
Keywords
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References
- Management of radial and brachial artery perforations during transradial procedures--a practical approach.The Journal of Invasive Cardiology. 2009; 21 (Epub 2009/10/07): 544-547
- Complex transradial percutaneous coronary intervention using a sheathless guide catheter.Heart Lung Circ. 2013; 22 (Epub 2012/12/25): 188-192
- Balloon-assisted tracking: a must-know technique to overcome difficult anatomy during transradial approach.Catheter Cardiovasc Interv. 2014; 83 (Epub 2013/04/18): 211-220
- TCTAP A-122 The Use of Sheathless Eaucath to Overcome Radial Artery Spasm and Perforation.Journal of the American College of Cardiology. 2014; 63: S35-S
Article info
Publication history
Published online: January 27, 2015
Accepted:
December 26,
2014
Received in revised form:
October 15,
2014
Received:
August 17,
2014
Identification
Copyright
© 2015 Australian and New Zealand Society of Cardiac and Thoracic Surgeons (ANZSCTS) and the Cardiac Society of Australia and New Zealand (CSANZ). Published by Elsevier Inc. All rights reserved.
