Semin intervent Radiol 2022; 39(03): 334-337
DOI: 10.1055/s-0042-1751285

Mohammed Hashim Mirza

1   Department of Radiology, University of Illinois Health, Chicago, Illinois

,

Tara Gill

1   Department of Radiology, University of Illinois Health, Chicago, Illinois

,

Ketan Y. Shah

1   Department of Radiology, University of Illinois Health, Chicago, Illinois

› Author Affiliations Funding This study was not supported by any funding.
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Radial artery access for endovascular arterial interventions is becoming an increasingly common choice for a variety of procedures performed in the interventional radiology suite. Prior studies performed on patients undergoing coronary angiograms have demonstrated decreased vascular and bleeding complications, along with improved survival, in patients who underwent transradial access over those who underwent transfemoral access.[1] Other potential advantages of transradial access include improved patient comfort, lack of need for an implanted closure device, and increased technical ease to access to some visceral and pelvic arteries due to their downward sloping origins.

However, there are also potential complications of transradial access, including radial artery occlusion (RAO).[1] [2] RAO is most often asymptomatic but may less frequently present with symptoms requiring urgent intervention. Ulnar artery occlusion after radial artery access is a less often described complication. Herein, the authors present a case of transradial access which was complicated by both radial and ulnar thrombosis resulting in acute limb ischemia.

Publication History

Article published online:
31 August 2022

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  References 1 Sandoval Y, Bell MR, Gulati R. Transradial artery access complications. Circ Cardiovasc Interv 2019; 12 (11) e007386 2 Kis B, Mills M, Hoffe SE. Hepatic radioembolization from transradial access: initial experience and comparison to transfemoral access. Diagn Interv Radiol 2016; 22 (05) 444-449 3 Khalifeh A, Tolaymat B, Noggle J, Kalsi R, Owen C, Nelms J. Description of technique and short-term outcomes of radial artery access for vascular disease. Vasc Endovascular Surg 2020; 54 (04) 319-324 4 Pancholy SB, Shah S, Patel TM. Radial artery access, hemostasis, and radial artery occlusion. Interv Cardiol Clin 2015; 4 (02) 121-125 5 Rashid M, Kwok CS, Pancholy S. et al. Radial artery occlusion after transradial interventions: a systematic review and meta-analysis. J Am Heart Assoc 2016; 5 (01) e002686 6 Brzezinski M, Luisetti T, London MJ. Radial artery cannulation: a comprehensive review of recent anatomic and physiologic investigations. Anesth Analg 2009; 109 (06) 1763-1781 7 Lo TS, Nolan J, Fountzopoulos E. et al. Radial artery anomaly and its influence on transradial coronary procedural outcome. Heart 2009; 95 (05) 410-415