Radial artery catheterization: Difference between revisions

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Home
Patient Information
Overview
Radial Artery Anatomy
Advantages
Potential Pitfalls
Contraindications
Pre-procedure Assessment
Procedure
Achieving Hemostasis after Radial Artery Catheterization
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VisualWikitext

Latest revision as of 06:42, 15 September 2017

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Varun Kumar, M.B.B.S.; Lakshmi Gopalakrishnan, M.B.B.S.; Ayokunle Olubaniyi, M.B,B.S [2]

Synonyms and Keywords: Radial first, Radialfirst, Radialfirst, Radial approach, Right radial, Left radial, Go radial

Overview

Radial Artery Anatomy

Advantages

Potential Pitfalls

Contraindications

Pre-procedure Assessment

Procedure

Achieving Hemostasis after Radial Artery Catheterization

Complications

Best Practices for Transradial Angiography

Template:WikiDoc Sources

@@ Line 1: / Line 1: @@
+__NOTOC__
+{{Radial artery catheterization}}
 {{SI}}
+{{CMG}}; '''Associate Editor-In-Chief:''' [[Varun Kumar]], M.B.B.S.; [[Lakshmi Gopalakrishnan]], M.B.B.S.; {{AO}}
-'''Editors-in-Chief:''' [[C. Michael Gibson, M.S., M.D.]],
+Synonyms and Keywords: Radial first, Radialfirst, Radialfirst, Radial approach, Right radial, Left radial, Go radial
-* Advantages of the Radial Approach to Cardiac Catheterization
+==[[Radial artery cathetarization overview|Overview]]==
-# Reduced bleeding
-# Early patient ambulation
-# Greater patient satisfaction
-# Absence of retroperitoneal hematomas, femoral pseudo aneurysms, arterial / venous fistulas
-*Potential Pitfalls of the Radial Approach to Cardiac Catheterization
+==[[Radial artery|Radial Artery Anatomy]]==
-# Spasm
-# Vessel tortuosity
-# Guide catheter support
-#Loss of [[radial artery]] pulse in 4% of cases
-*Contraindications to Utilization of the Radial Approach to Cardiac Catheterization
+==[[Radial Catheterization Advantages|Advantages]]==
-#[[Cellulitis]] or other infections over the [[radial artery]]
-#Absence of palpable [[radial artery]] pulse
-#Positive Allen test (see below), indicating that only one artery supplies the hand
-#Coagulation defects (relative)
-*Performance of the Allen Test Before the Procedure
+==[[Radial catheterization pitfalls|Potential Pitfalls]]==
-An Allen Test should be perforemd before the procedure to confirm that there is sufficient blood flow in the [[ulnar artery]] should there be a loss of patency in the [[radial artery]] due to either thrombosis or spasm which can result in gangrenous finger or had loss.  The Allen Test is performed with the patient sitting with the hands turned in the supine position on the knees. Your fingers are then used to compress the tissue over both radial and ulnar arteries. Allow a few minutes for the blood to drain from the hand while the patient opens and closes her hands several times. Release the pressure on the ulnar artery while keeping the radial artery occluded. normal skin color should return to the ulnar side of the palm in 1-2 seconds, followed by quick restoration of normal color to the entire palm. A hand that remains white indicates either absence or occlusion of the ulnar artery, and radial artery puncture is contraindicated.
-*Choosing the Left or Right Side for the Radial Approach
+==[[Radial catheterization contraindication|Contraindications]]==
-If the internal mammary artery must be canulated, then the left radial artery should be used.
-*Obtaining Radial Access
+==[[Radial catheterization allen's test|Pre-procedure Assessment]]==
-*Initial Insertion of the Catheters
+==[[Radial catheterization procedure|Procedure]]==
-To reduce spasm, 500 micrograms of [[diltiazem]] can be administered via the sidearm prior to insertion of the right and left sided catheters.
-*Catheter selection
+==[[Radial catheterization hemostasis|Achieving Hemostasis after Radial Artery Catheterization]]==
-Many operators choose to start with the right coronary artery as the right sided catheter may allow for directing the wire as you make your way up around the arch. Once the wire is around the arch, it should remain there for exchanges. A JL 3.5 catheter may be used to engage the left coronary artery when catheterization is performed from the right arm.
+==[[Radial catheterization complications|Complications]]==
-{{WH}}
+==[[Best practices for transradial angiography and intervention|Best Practices for Transradial Angiography]]==
-{{WS}}
+{{Coronary Angiography}}
+[[Category:Angiopedia]]
+{{WikiDoc Help Menu}}
+{{WikiDoc Sources}}

v t e Coronary Angiography
Coronary Anatomy	Normal coronary anatomy • Anomalous origins of coronary arteries (Left coronary artery • Right coronary artery) • Congenital abnormalities of coronary arteries • Coronary artery segments • Cinefilm frame speed • Coronary artery dominance (Left dominance • Right dominance • Co-dominance)
TIMI Flow Grade	TIMI flow grade 0 • TIMI flow grade 1 • TIMI flow grade 2 • TIMI flow grade 3
TIMI Frame Count	TFC for SVG • TIMI Myocardial Frame Count • Washout TIMI Frame Count
TIMI Myocardial Perfusion Grade	TIMI MPG 0 • TIMI MPG 1 • TIMI MPG 2 • TIMI MPG 3
Thrombus Grading	Thrombus Grade 0 • Thrombus Grade 1 • Thrombus Grade 2 • Thrombus Grade 3 • Thrombus Grade 4 • Thrombus Grade 5 • Thrombus Grade 6
Lesion Complexity	Type A • Type B₁ • Type B₂ • Type C
Dissection Classification	Type A • Type B • Type C • Type D • Type E • Type F
Coronary Collaterals	Grade 0 • Grade 1 • Grade 2 • Grade 3 • Rentrop and Cohen’s Collateral Classification
Lesion Morphology	Myocardial bridge •Definitions of Preprocedural Lesion Morphology • Luminal irregularities • Disease extent • Arterial foreshortening • Infarct related artery (Culprit lesion) • Reocclusion • Restenosis • Degenerated saphenous vein graft • Coronary artery fistula
Angiographic complications	Distal embolization • Coronary spasm • Abrupt closure • Side branch loss • Slow flow • No-reflow • Pulsatile flow • Flow deceleration • Ectasia • Intimal flap • Staining •
Performing Coronary Angiography	Patient preparation • Catheter selection • Standard angiographic views • High risk groups • Patients with special need • Access site closure (Manual compression • Assisted compression • Closure devices) •
Quantitative Coronary Angiography (QCA)	Minimal lumen diameter • Percent stenosis • Reference diameter • Lesion length • Residual stenosis • Average reference segment diameter • Plaque area • Plaque volume •
Contrast Media	High-osmolar contrast media • Iso-osmolar contrast media • Low-osmolar contrast media
Left Ventriculography & Aortography	Ejection fraction • Aortography • Quantitative Left Ventricular Analysis (LAO projection • RAO projection • LVA) • Left Ventricular Wall Motion Analysis (Normokinesia • Hypokinesia • Akinesia • Dyskinesia • Aneurysm) • Evaluation of mitral regurgitation • Evaluation of aortic regurgitation
Right Heart Catheterization	Pressure waveforms (Right atrial pressure • Rirght ventricular pressure • Pulmonary artery pressure • Pulmonary artery wedge-pressure) • Endomyocardial biopsy
Complications	Access site complications • Dumping • Contrast hypersensitivity • Contrast induced nephropathy • Hypotension • Hypertension • Dissection • Vessel perforation • Acute myocardial infarction • Ventricular fibrillation • Cardiac arrest • Stroke • ASD • VSD • Pulmonary emboli • Myocardial rupture • Peripheral arterial emboli • Radiation injury

Radial artery catheterization: Difference between revisions

Latest revision as of 06:42, 15 September 2017

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