Critical hand ischaemia after transradial cardiac catheterisation: an uncommon complication of a common procedure

We describe a case of critical hand ischaemia after transradial cardiac catheterisation. The patient presented with hand ischaemia 5 days after transradial coronary angiography. Urgent angiography demonstrated radial artery occlusion with embolisation to the palmar arch and digital arteries. The isc...

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Bibliographic Details
Published in:Netherlands heart journal 2012-09, Vol.20 (9), p.372-375
Main Authors: Rademakers, L. M., Laarman, G. J.
Format: Article
Language:English
Subjects:
Cardiology
Medical Education
Medicine
Medicine & Public Health
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Special Article
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Summary:We describe a case of critical hand ischaemia after transradial cardiac catheterisation. The patient presented with hand ischaemia 5 days after transradial coronary angiography. Urgent angiography demonstrated radial artery occlusion with embolisation to the palmar arch and digital arteries. The ischaemia was refractory to an extensive thrombolytic regimen, and subsequently, the patient was referred to the vascular surgeon for urgent thrombectomy and patch angioplasty. The patient recovered slowly and no amputation was necessary, but complaints of right hand numbness and paresthesia of all digits remained.
ISSN:1568-5888
1876-6250
DOI:10.1007/s12471-012-0276-8