Related Experiment Video
Updated: Mar 14, 2026

Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
Published on: September 20, 2020
Vascular Complications of Percutaneous Transradial Cardiac Catheterization
Manish Patwardhan, Sanjay Mehra, Assad Movahed
1East Carolina Heart Institute, Greenville, NC.
Insights
The transradial approach for heart procedures is gaining popularity. While safer than the femoral route, potential complications like pseudoaneurysm and radial artery occlusion require awareness.
Area of Science:
- Cardiology
- Vascular Surgery
Background:
- The percutaneous transradial approach (TRA) is increasingly utilized for coronary angiography and percutaneous coronary intervention in the United States.
- TRA offers a superior vascular safety profile compared to the traditional transfemoral approach.
Observation:
- This article details two cases of vascular complications following transradial cardiac catheterization.
- The observed complications include pseudoaneurysm and radial artery occlusion.
Findings:
- Pseudoaneurysm formation and radial artery occlusion are potential, albeit infrequent, complications of the transradial approach.
- Understanding these risks is crucial for managing patients undergoing transradial procedures.
Implications:
- Awareness of these potential complications can aid in early diagnosis and management.
- Further research into minimizing risks associated with the transradial approach is warranted.
Abstract:
The percutaneous transradial approach for coronary angiography and percutaneous coronary intervention is increasing in the United States. Although its vascular safety profile is better than the traditional femoral approach, it is important to learn about potential complications. In this article, we present two cases of vascular complications, namely, pseudoaneurysm and radial artery occlusion, after transradial cardiac catheterization, along with a review of the relevant literature.
Related Concept Videos
Cardiac Catheterization I: Pre-Procedure Overview
Cardiac Catheterization II: Right Heart Catheterization
Cardiac Catheterization IV: Nursing Management
Cardiac Catheterization III: Left Heart Catheterization
Assessment of the Cardiovascular System III: Palpation
Jugular Venous Pressure (JVP) Measurement
Position the patient at a thirty- to forty-five-degree angle or in a semi-fowler's position. Look for the highest point of pulsation in the internal jugular vein and measure the vertical distance to the angle of Loius or sternal angle. A normal JVP is 3-4 cm above...
Peripheral Arterial Disease II: Clinical Manifestations and Diagnostic Evaluation

