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Permanent Cerebral Vessel Occlusion via Double Ligature and Transection
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[Radial artery occlusion ofter coronarography: is it really a problem?]
F Hage1, G Badaoui1, H Routledge2
1Département de cardiologie, hôtel Dieu de France, université Saint-Joseph De Beyrouth, Achrafieh/Beyrouth, Liban.
Annales De Cardiologie Et D'Angeiologie
|March 5, 2020
Summary
Transradial access for cardiac procedures is common, but concerns about radial artery occlusion causing hand ischemia are largely unfounded. Studies show minimal correlation between radial occlusion and symptomatic hand ischemia, suggesting the technique is safe.
Area of Science:
- Cardiology
- Vascular Surgery
- Interventional Cardiology
Background:
- Transradial access is increasingly used globally for cardiac procedures.
- Radial artery occlusion is a known complication of radial cannulation.
- Concerns exist regarding potential ischemic sequelae in the hand due to radial occlusion.
Purpose of the Study:
- To review the causes, consequences, and management strategies for radial artery occlusion following transradial access.
- To evaluate the correlation between radial artery occlusion and symptomatic hand ischemia.
Main Methods:
- Literature review of studies investigating transradial access and radial artery occlusion.
- Analysis of reported causes, consequences, prevention, and treatment strategies.
- Assessment of the relationship between radial occlusion and hand ischemia.
Main Results:
- Transradial access offers numerous advantages in cardiac procedures.
- Multiple studies indicate a low or non-existent correlation between radial artery occlusion and symptomatic hand ischemia.
- Effective strategies for prevention and treatment of radial occlusion exist.
Conclusions:
- Despite potential radial artery occlusion, transradial access is associated with minimal risk of symptomatic hand ischemia.
- The benefits of transradial access likely outweigh the risks of ischemic complications.
- Further research may refine prevention and treatment protocols for radial artery occlusion.
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