Radial catheterization contraindication: Difference between revisions

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==Overview==
===Relative Contraindications===


==Contraindications to Utilization of the Radial Approach to Cardiac Catheterization==
* Absence of palpable [[radial artery]] pulse
# [[Cellulitis]] or other infections over the [[radial artery]]
 
# Absence of palpable [[radial artery]] pulse
* Abnormal [[Allen test]] ([[oximetry]]/ [[plethysmography]]), indicating that only one artery supplies the hand
# Abnormal [[Allen test]], indicating that only one artery supplies the hand
 
# Coagulation defects (relative)
* Presence of upper extremity peripheral vascular disease such as [[Buerger's disease]] and severe [[Raynaud's disease]]
# 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
* Presence of arteriovenous shunt for dialysis
# Presence of upper extremity peripheral vascular disease such as [[Buerger's disease]] and severe [[Raynaud's disease]]
* Potential use of the radial artery as a conduit for aortocoronary bypass
# Congenital abnormalities of upper limb vasculature such as extreme tortuosity, anomalous take off of the [[radial artery]], or severe [[atherosclerosis]]
* [[Cellulitis]] or other infections over the [[radial artery]]
# Abnormal [[oximetry]]/ [[plethysmography]]
* Coagulation defects (relative)
* 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==
==References==

Revision as of 18:36, 29 November 2013

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Relative Contraindications

  • 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 (relative)
  • 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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