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Updated: Jan 20, 2026

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Published on: September 20, 2020
Complications of Transradial Catheterization and Cannulation
Matthew J Hadad1, Varun Puvanesarajah1, E Gene Deune1
1Department of Orthopaedic Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD.
Transradial catheterization can cause vascular and orthopedic issues like radial artery occlusion. This review guides nonsurgical and surgical treatments for these transradial access complications.
Area of Science:
- Cardiovascular Interventions
- Vascular Surgery
- Hand Surgery
Background:
- Transradial catheterization and cannulation are common procedures.
- These procedures carry risks of vascular, infectious, and orthopedic complications.
- Hand surgeons frequently manage these complications.
Purpose of the Study:
- To review current evidence on managing complications from transradial access.
- To guide nonsurgical and surgical treatment decisions.
- To inform prevention strategies for these complications.
Main Methods:
- Review of recent scientific literature.
- Analysis of evidence regarding nonsurgical interventions.
- Analysis of evidence regarding surgical interventions.
Main Results:
- Common complications include radial artery occlusion, hematoma, laceration, pseudoaneurysm, abscess, and compartment syndrome.
- Evidence guides the choice between conservative and operative management.
- Prevention strategies are crucial for patient safety.
Conclusions:
- Effective management strategies exist for transradial access complications.
- Nonsurgical and surgical options should be tailored to the specific complication.
- Further research may refine prevention and treatment protocols.
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