[Vascular complications associated with radial artery access for cardiac catheterization]

Rev Esp Cardiol. 2004 Jun;57(6):581-4.
[Article in Spanish]


Cardiac catheterization via the radial artery is associated with vascular complications, albeit less frequently than with the femoral approach. However, the management of these complications differs and is poorly described in the literature. We present our experience with vascular complications secondary to transradial access, with emphasis on their specific treatment. From January 2001 to October 2003 a total of 8159 cardiac catheterizations were performed, of which 3369 (41.3%) were done by radial artery approach. In 21 cases (0.06%) severe vascular hemorrhagic complications were observed (hematomas > 6 cm, n = 13; fistulas, n = 2; perforations, n = 5; pseudoaneurysm, n = 1). All patients were treated conservatively and none needed blood transfusions. A detailed description of the hemostasis techniques is provided.

Publication types

  • Comparative Study
  • English Abstract

MeSH terms

  • Adult
  • Aged
  • Cardiac Catheterization / adverse effects*
  • Cardiac Catheterization / methods
  • Female
  • Humans
  • Male
  • Middle Aged
  • Peripheral Vascular Diseases / etiology*
  • Peripheral Vascular Diseases / therapy
  • Postoperative Complications
  • Punctures / adverse effects*
  • Radial Artery / injuries*
  • Treatment Outcome