Difference between revisions of "Transradial approach"

(Obtaining access)
 
Line 16: Line 16:
 
Transradial Cocktail:
 
Transradial Cocktail:
 
* Heparin 3000 u
 
* Heparin 3000 u
* Verapamil 2.5 mg
+
* Verapamil 2.5 -5 mg
 
* Nitroglycerin 200 mcg
 
* Nitroglycerin 200 mcg
 
Equipment:
 
Equipment:

Latest revision as of 04:55, 8 April 2019

Developed by cardiology in 1989, now used for non-coronary interventions.

Advantages:

  • patient comfort / convenience -

Pre-procedural evaluation

Barbeau exam.jpg

Barbeau Examination — consists of modified Allen's test using a pulse ox

  • A -
  • B -
  • C -
  • D -

Obtaining access

Transradial Cocktail:

  • Heparin 3000 u
  • Verapamil 2.5 -5 mg
  • Nitroglycerin 200 mcg

Equipment:

  • Micropuncture set
  • 5 Fr slender sheath
  • Jackie or Sarah catheter, 110cm
  • 150 cm microcatheters

Post-procedural care

Technical guide

Complications

  • 5% risk of radial artery occlusion which is clinically insignificant if the Allen test is normal.
  • Radial artery spasm, can be avoided by the use of local vasodilators.
  • Perforation of the radial artery is very rare, managed with compression. Rarely does it require vascular surgery intervention.

Contributing Authors

BGG, Kevin Liu