Abstract
Purpose
To evaluate the use of 4 Fr radial artery catheters as an alternative to both transbrachial and transfemoral approaches.
Methods
Seventy examinations were performed via the transradial route using 4 Fr 130-cm-long pigtail catheters. Prior to puncture the radial artery was assessed with pulse oximetry to ensure that it did not contribute the dominant blood supply to the hand. Patients were reassessed for complications within 24 hr of the procedure.
Results
Acceptable images were obtained in femoral arteriography, arch aortography, and selective carotid studies. In three of six renal arteriograms, images were suboptimal. There was a total technical failure rate of 5.7%. Significant complications were encountered in 4.3%, but no hand ischemia occurred.
Conclusion
The transradial route for arteriography is easy to learn and has a low complication rate. It is a reasonable alternative approach to transfemoral arteri-ography for true outpatient peripheral angiography and in cases where the transfemoral route is not feasible, though it did not prove satisfactory for renal arteriography in hypertensive patients.
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References
Baudouin CJ, Belli A-M, Peck RJ, Cumberland DC (1990) Technical report: The complications of high brachial artery puncture. Clin Radiol 42:277–280
Gritter KJ, Laidlaw WW, Peterson NT (1987) Complications of outpatient transbrachial intraarterial digital subtraction angiography. Radiology 162:125–127
Watkinson AF, Hartnell GG (1991) Complications of direct brachial artery puncture for arteriography: A comparison of techniques. Clin Radiol 44:189–191
Heenan SD, Buckenham TM, Belli A-M (1996) Transbrachial arteriography: Indications and complications. Clin Radiol 51: 205–209
Kiemeneij F, Laarman GJ (1994) Percutaneous transradial artery approach for coronary Palmaz-Schatz stent implantation. Am Heart J 128:167–174
Campeau L (1989) Percutaneous radial artery approach for coronary angiography. Cathet Cardiovasc Diagn 16:3–7
Otaki M (1992) Percutaneous transradial approach for coronary angiography. Cathet Intervent Cardiol 81:330–333
Al-Kutoubi A, de Jode M, Gibson M (1996) Radial artery approach for outpatient peripheral arteriography. Clin Radiol 51:110–112
Campion BC, Frye RL, Pluth JR, Fairbairn JF, Davis GD (1971) Arterial complications of retrograde brachial artery catheterizations: A prospective study. Mayo Clin Proc 46:589–592
Cederholm I, Sorensen J, Carlsson C (1986) Thrombosis following percutaneous radial artery cannulation. Acta Anaesthesiol Scand 30:227–230
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Cowling, M.G., Buckenham, T.M. & Belli, AM. The role of transradial diagnostic angiography. Cardiovasc Intervent Radiol 20, 103–106 (1997). https://doi.org/10.1007/s002709900115
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DOI: https://doi.org/10.1007/s002709900115