Symptomatic radial artery thrombosis successfully treated with endovascular approach via femoral access route |
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| Institution: | 1. Department of Internal Medicine, University of Arizona;2. Heart and Vascular Institute, Detroit, MI;3. Division of Cardiology, Wayne State University, Detroit, MI;4. Department of Internal Medicine, Texas Tech University Health Science Center at Permian Basin, TX;5. Department of Internal Medicine, University of Pittsburg Medical Center, Mercy Hospital, Pittsburg, PA;6. Department of Internal Medicine, St. Joseph Mercy Hospital, Ann Arbor, MI;7. Sarver Heart Center, University of Arizona;8. CareMore HealthCare, AZ;1. Department of Orthopedics, China-Japan Union Hospital of Jilin University, Changchun, Jilin, China;2. Department of Colorectal and Stomach Cancer Surgery, Jilin Cancer Hospital, Changchun, Jilin, China;3. Department of Human Anatomy, College of Basic Medicine of Jilin University, Changchun, Jilin, China;1. Department of Cardiovascular, Respiratory, Nephrological, Anesthesiological and Geriatric Sciences, Sapienza University of Rome, Italy;2. Sant''Anna Hospital, Catanzaro, Italy |
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| Abstract: | Radial access has been increasingly utilized for coronary intervention due to higher safety profile in comparison to femoral access site with lower bleeding rate. Radial artery occlusion is not uncommon with radial access site. This usually does not lead to any harm due to ulnar artery collaterals that are sufficient to prevent hand ischemia and is usually left alone. However, in the case of significant hand ischemia, treatment is often necessary. We are reporting an interesting case of symptomatic radial artery thrombosis leading to arm ischemia that was successfully treated percutaneously using femoral access. Using femoral access for radial artery intervention has not been reported previously. This case is followed by review of the literature. |
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