Radial catheterization contraindication

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

Contraindications to Utilization of the Radial Approach to Cardiac Catheterization

1. Cellulitis or other infections over the radial artery
2. Absence of palpable radial artery pulse
3. Abnormal Allen test, indicating that only one artery supplies the hand
4. Coagulation defects (relative)
5. Patients who may require intra-aortic balloon pump counterpulsation (IABP)
6. Devices that are not compatible in 7F or smaller sheaths such as TEC, larger Rotoblator burrs, certain stents
7. Presence of upper extremity peripheral vascular disease such as Buerger's disease and severe Raynaud's disease
8. Congenital abnormalities of upper limb vasculature such as extreme tortuosity, anomalous take off of the radial artery, or severe atherosclerosis
9. Abnormal oximetry/ plethysmography