The role of transradial diagnostic angiography

Journal Article · Sat Mar 15 04:00:00 EST 1997 · Cardiovascular and Interventional Radiology

DOI:https://doi.org/10.1007/S002709900115· OSTI ID:21080237

Cowling, Mark G; Buckenham, Timothy M; Belli, Anna-Maria ^[1]

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1. St. George's Healtheare NHS Trust, Department of Diagnostic Radiology (United Kingdom)

Purpose. To evaluate the use of 4 Fr radial artery catheters as an alternative to both trans brachial and trans femoral approaches. Methods. Seventy examinations were performed via the trans radial route using 4 Fr 130-cm-long pigtail catheters. Prior to puncture the radial artery was assessed with pulse oxime try 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 trans radial route for arteriography is easy to learn and has a low complication rate. It is a reasonable alternative approach to trans femoral arterio-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.

• OSTI ID: 21080237
• Journal Information: Cardiovascular and Interventional Radiology, Journal Name: Cardiovascular and Interventional Radiology Journal Issue: 2 Vol. 20; ISSN 0174-1551; ISSN CAIRDG
• Country of Publication: United States
• Language: English

Related Subjects

62 RADIOLOGY AND NUCLEAR MEDICINE
ARTERIES
BIOMEDICAL RADIOGRAPHY
BLOOD
FAILURES
IMAGES
ISCHEMIA
KIDNEYS
PATIENTS