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Updated: Aug 6, 2026
05:31
Transradial Access Chemoembolization for Hepatocellular Carcinoma Patients
Published on: September 20, 2020
Radial Artery Pseudoaneurysm Following Transradial Catheterization: Recognition, Management, and Prevention
Michelle C Carvajal1, Shivani Shirodkar1, Jessica B Briscoe1
1Division of Cardiac Surgery, Department of Surgery, Johns Hopkins University, Baltimore, Maryland.
Summary
Transradial cardiac catheterization offers safety benefits but can cause radial artery pseudoaneurysms (RAP). Early diagnosis via ultrasound and tailored management are key to preventing complications.
Area of Science:
- Cardiology
- Vascular Surgery
Background:
- Transradial cardiac catheterization is preferred for acute coronary syndrome due to lower bleeding risks.
- Radial artery pseudoaneurysm (RAP) is a rare but serious complication of this procedure.
- Current understanding and management guidelines for RAP are limited.
Purpose of the Study:
- To review and synthesize clinical experience regarding radial artery pseudoaneurysms (RAP) after transradial catheterization.
- To provide guidance on the diagnosis, risk stratification, and management of RAP.
Main Methods:
- Systematic review of published clinical experience on radial artery pseudoaneurysms.
- Analysis of patient presentations, diagnostic methods, and treatment strategies.
Main Results:
- Patients typically present with localized pain, swelling, or a pulsatile mass at the access site.
- Duplex ultrasonography is the primary diagnostic tool for assessing RAP.
- Management options include observation, compression, ultrasound-guided thrombin injection, and surgical repair.
Conclusions:
- Early recognition of RAP using ultrasound is crucial.
- Individualized treatment based on lesion characteristics and patient factors can prevent morbidity.
- Effective management strategies are essential as transradial access use expands.
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