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OBJECTIVE: This report aims to raise physician clinical awareness of radial artery pseudoaneurysm (RAP) and promote early recognition of this potentially serious complication. The article highlights various proposed treatment strategies in the management of this condition. BACKGROUND: Radial artery pseudoaneurysm is a rare potentially serious complication following transradial artery coronary angiography for left heart catheterization and percutaneous coronary intervention. Risk factors associated with the development of RAP include multiple arterial puncture attempts, use of systemic anticoagulation, inadequate hemostasis following post-procedural compression, vascular site infection, use of larger sheaths, female gender, age of 70 years and older, diabetes mellitus, obesity and/or patients with high body mass index.1-3 Conservative medical treatment and/or surgical repair are the primary therapeutic approaches in the management of RAP. CONCLUSION Transradial artery access is associated with a significantly lower risk of major bleeding and vascular access site complications, reduces morbidity and mortality compared with the transfemoral approach. It is important to recognize though that complications do still occur with the transradial approach. RAP is one such entity wherein prevention is key - with adequate post-procedural compression, frequent observation, and careful assessment of the radial access site.
Aneurysm, False ; Radial Artery

7.A report of peripheral circulatory insufficiency following frequent percutaneous puncture of the radial artery and the bracheal artery cannulation.

Kam Jin SHIN ; Sang Kwi LEE ; Hee Sun SONG

The Korean Journal of Critical Care Medicine 1993;8(2):97-100

1.Thrombotic Occlusion of the Radial Artery as a Complication of the Transradial Coronary Intervention.

2.Iatrogenic catheter sheath shearing during radial artery cannulation.

3.Cannulation of the dorsal radial artery: an underused, yet useful, technique.

4.Effects of radial artery cannulation on the index finger blood flowby impedence plethysmograph.

5.Value of recanalization of the occluded radial artery via the distal radial artery approach.

6.Radial Artery Pseudoaneurysm following Transradial Artery Coronary Angiography: A case report

7.A report of peripheral circulatory insufficiency following frequent percutaneous puncture of the radial artery and the bracheal artery cannulation.

8.Iatrogenic radial artery perforation during transradial coronary angiography.

9.Aortography and Echocardiography by Countercurrent Injection Via Radial Artery in Newborns with PDA.

10.Cineaortography by Countercurrent Injection via the Radial Artery in Neonates and Infants.

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