Interosseous artery as an access artery in case of late radial artery occlusion

Catheter Cardiovasc Interv. 2017 Dec 1;90(7):1121-1125. doi: 10.1002/ccd.27106. Epub 2017 May 4.

Abstract

We report a new technique of arterial access through the ipsilateral interosseous artery in a case of late radial artery occlusion (RAO). RAO, although not frequent, is a limiting iatrogenic complication after transradial intervention (TRI) and precludes repeat use of the same radial artery for future procedures. Our technique involves obtaining access to the ipsilateral radial artery (RA) in the distal postocclusion segment and use of collateral channel between this segment and the interosseous artery (IOA) for advancing a guidewire and sheath in the IOA lumen and in brachial artery thereafter. © 2017 Wiley Periodicals, Inc.

Keywords: forearm interosseous artery; late radial artery occlusion; transradial coronary intervention.

Publication types

  • Case Reports

MeSH terms

  • Aged, 80 and over
  • Angiography
  • Arterial Occlusive Diseases / diagnostic imaging
  • Arterial Occlusive Diseases / etiology*
  • Cardiac Catheterization / adverse effects
  • Cardiac Catheterization / methods*
  • Catheterization, Peripheral / adverse effects
  • Catheterization, Peripheral / methods*
  • Coronary Angiography / adverse effects
  • Coronary Angiography / methods*
  • Coronary Stenosis / diagnostic imaging
  • Coronary Stenosis / therapy*
  • Humans
  • Male
  • Percutaneous Coronary Intervention / methods*
  • Punctures
  • Radial Artery / diagnostic imaging
  • Radial Artery / injuries*
  • Treatment Outcome
  • Vascular System Injuries / diagnostic imaging
  • Vascular System Injuries / etiology*