Distal radial artery access among cases with radial artery occlusion for primary percutaneous intervention

Radial artery access is associated with lower bleeding risks and higher patient satisfactions compared with femoral access. It is currently the preferred access for coronary catheterization and interventions, and increasingly used for peripheral and cranial vascular interventions. Herein, we present...

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Veröffentlicht in:Future cardiology 2019-05, Vol.15 (3), p.169-173
Hauptverfasser: Alkhawam, Hassan, Windish, Stephanie, Abo-Salem, Elsayed
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container_title Future cardiology
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creator Alkhawam, Hassan
Windish, Stephanie
Abo-Salem, Elsayed
description Radial artery access is associated with lower bleeding risks and higher patient satisfactions compared with femoral access. It is currently the preferred access for coronary catheterization and interventions, and increasingly used for peripheral and cranial vascular interventions. Herein, we present a patient who had a recent procedures included right transradial right vertebral artery and peripheral vascular interventions. She was admitted for abdominal aortic bifemoral artery bypass, and was complicated with ST elevation myocardial infarction that required immediate cardiac catheterization. Patient did not have palpable radial access and ultrasonography confirmed a total occlusion of right radial artery with thrombus. Although distal right radial artery – at the anatomical snuff box – was not palpable, artery was patent and could be accessed successfully with ultrasonography guidance.
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It is currently the preferred access for coronary catheterization and interventions, and increasingly used for peripheral and cranial vascular interventions. Herein, we present a patient who had a recent procedures included right transradial right vertebral artery and peripheral vascular interventions. She was admitted for abdominal aortic bifemoral artery bypass, and was complicated with ST elevation myocardial infarction that required immediate cardiac catheterization. Patient did not have palpable radial access and ultrasonography confirmed a total occlusion of right radial artery with thrombus. 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subjects acute coronary syndrome
Acute Coronary Syndrome - complications
Acute Coronary Syndrome - diagnosis
Acute Coronary Syndrome - surgery
Acute coronary syndromes
Angiography
Arterial Occlusive Diseases - complications
Arterial Occlusive Diseases - diagnosis
Cardiovascular disease
Catheterization, Peripheral - methods
Catheters
complications
Coronary Angiography - methods
Coronary vessels
distal radial artery
Electrocardiography
Female
Humans
Intervention
Intubation
Ischemia
Laboratories
Medical imaging
Middle Aged
Patient satisfaction
Percutaneous Coronary Intervention - methods
Radial Artery
radial artery occlusion
STEMI
Stents
Thrombosis
transradial
Ultrasonic imaging
vascular
Vascular surgery
title Distal radial artery access among cases with radial artery occlusion for primary percutaneous intervention
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