Radial catheterization contraindication

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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

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