A Rare Case of Radial Arteriovenous Formation After Transradial Cardiac Catheterization

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Authors

Barbara Senger, Corewell Health Resident
Hassan Eidy, Corewell Health Resident
Andrew Gray, Corewell Health
Robert Grodman, Corewell Health Fellow

Description

In the United States, more than one million cardiac catheterization procedures are performed each year for diagnostic and therapeutic purposes.

Right heart catheterizations allow for direct measurement of right-sided cardiac and pulmonary hemodynamics while left heart catheterizations provide a diagnostic and therapeutic role in those with coronary artery disease.

In 1989, Lucien Campeau proposed the use of a smaller caliber catheter to access the small radial artery as a way to reduce the rates of bleeding complications.

Advantages of utilizing the transradial artery (TRA) approach over the transfemoral artery (TFA) approach include:

– Improved patient quality-of life metrics.

– Reduced major bleeding and access site complications.

– Lower total hospital costs.

Access-site complications including radial artery occlusion and arteriovenous fistula (AVF) formation from TRA are rare and usually of minimal clinical impact.

AVF may present with pain and edema at the puncture site, a pulsatile thrill, and/or visible dilated superficial veins.

Publication Date

5-2024

Disciplines

Gastroenterology | Internal Medicine

Recommended Citation

Senger B, Eidy H, Gray A, Grodman R. A rare case of radial arteriovenous formation after transradial cardiac catheterization. Presented at Corewell Health Hospital Farmington Hills 2024 Alvin Yarrows Research Day; 2024 May 9; Farmington Hills, MI.

Comments

2024 Alvin Yarrows Research Day at Corewell Health Hospital Farmington Hills, Farmington Hills, MI, May 9, 2024.