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Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
Published on: September 20, 2020
Complications of Radial Access.
Arsalan Abu-Much1, Valentina Jaramillo Restrepo2, Megha Prasad1
1Division of Cardiology, Columbia University Irving Medical Center/NewYork-Presbyterian Hospital, 161 Ft. Washington Ave, Herbert Irving Pavilion, 6th Floor New York, NY 10032, USA.
Radial artery access offers lower bleeding risk but can cause complications. Ultrasound assessment and proper techniques like local anesthesia and vasodilators minimize these risks for better patient outcomes.
Area of Science:
- Cardiovascular Interventions
- Vascular Access Procedures
Background:
- Radial artery access is preferred for reduced bleeding risk.
- Potential complications include dissection, occlusion, bleeding, hematoma, compartment syndrome, equipment entrapment, and granuloma formation.
Purpose of the Study:
- To highlight the risks associated with radial artery access.
- To recommend strategies for minimizing complications and improving patient outcomes.
Main Methods:
- Review of potential complications associated with radial artery access.
- Emphasis on diagnostic and procedural techniques to mitigate risks.
Main Results:
- Complications arise from arterial trauma, spasm, and retained materials.
- Ultrasound assessment of radial artery diameter and patency is crucial.
- Proper techniques significantly reduce complication rates.
Conclusions:
- Careful pre-procedural assessment using ultrasound is vital.
- Adherence to best practices in radial artery access, including anesthesia and vasodilators, enhances safety and efficacy.
- Minimizing radial artery access complications leads to improved patient outcomes.
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