Radial catheterization contraindication: Difference between revisions

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===Relative Contraindications===


 
* Absence of palpable [[radial artery]] pulse
==Contraindications to Utilization of the Radial Approach to Cardiac Catheterization==
* Abnormal [[Allen test]] ([[oximetry]]/ [[plethysmography]]), indicating that only one artery supplies the hand
# [[Cellulitis]] or other infections over the [[radial artery]]
* Presence of upper extremity peripheral vascular disease such as [[Buerger's disease]] and severe [[Raynaud's disease]]
# Absence of palpable [[radial artery]] pulse
* Presence of arteriovenous shunt for dialysis
# Abnormal [[Allen test]], indicating that only one artery supplies the hand
* Potential use of the radial artery as a conduit for aortocoronary bypass
# Coagulation defects (relative)
* [[Cellulitis]] or other infections over the [[radial artery]]
# Patients who may require intra-aortic balloon pump counterpulsation ([[IABP]])
* Coagulation defects  
# Devices that are not compatible in 7F or smaller sheaths such as TEC, larger Rotoblator burrs, certain stents
* Patients who may require intra-aortic balloon pump counterpulsation ([[IABP]])
# Presence of upper extremity peripheral vascular disease such as [[Buerger's disease]] and severe [[Raynaud's disease]]
* Devices that are not compatible in 7F or smaller sheaths such as TEC, larger Rotoblator burrs, certain stents
# Congenital abnormalities of upper limb vasculature such as extreme tortuosity, anomalous take off of the [[radial artery]], or severe [[atherosclerosis]]
* Congenital abnormalities of upper limb vasculature such as extreme tortuosity, anomalous take off of the [[radial artery]], or severe [[atherosclerosis]]
# Abnormal [[oximetry]]/ [[plethysmography]]


==References==
==References==
{{reflist}}
{{reflist|2}}


[[Category: Cardiology]]
[[Category: Cardiology]]

Latest revision as of 18:37, 29 November 2013

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Relative Contraindications

  • Absence of palpable radial artery pulse
  • Abnormal Allen test (oximetry/ plethysmography), indicating that only one artery supplies the hand
  • Presence of upper extremity peripheral vascular disease such as Buerger's disease and severe Raynaud's disease
  • Presence of arteriovenous shunt for dialysis
  • Potential use of the radial artery as a conduit for aortocoronary bypass
  • Cellulitis or other infections over the radial artery
  • Coagulation defects
  • Patients who may require intra-aortic balloon pump counterpulsation (IABP)
  • Devices that are not compatible in 7F or smaller sheaths such as TEC, larger Rotoblator burrs, certain stents
  • Congenital abnormalities of upper limb vasculature such as extreme tortuosity, anomalous take off of the radial artery, or severe atherosclerosis

References

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