Transient and Regional Ischemia Related to Continuous Saline Solution Infusion during Radial Artery Access

Nicholas Xiao; Jonathan Lindquist; Robert L. Vogelzang

doi:10.1016/j.jvir.2017.11.017

Transient and Regional Ischemia Related to Continuous Saline Solution Infusion during Radial Artery Access

Nicholas Xiao, Jonathan Lindquist, Robert L. Vogelzang^*

^*Corresponding author for this work

Radiology

Research output: Contribution to journal › Article › peer-review

1 Scopus citations

Abstract

This case series illustrates a radial access complication seen in 7 of 9 consecutive patients (age range, 44–53 y) undergoing uterine artery embolization in May and June 2017. Demonstrative images and videos identify a transient and clinically consequential skin ischemia caused by intraprocedural saline solution infusion through the occlusive radial artery sheath. All complications documented were classified as mild adverse events (class A) according to Society of Interventional Radiology criteria. Complication severity ranged from transient blanching to ischemic necrosis of the skin. Operator cognizance of this phenomenon with appropriate adjustment of saline solution infusion rates will prevent tissue ischemia and necrosis in radial access cases.

Original language	English (US)
Pages (from-to)	389-394
Number of pages	6
Journal	Journal of Vascular and Interventional Radiology
Volume	29
Issue number	3
DOIs	https://doi.org/10.1016/j.jvir.2017.11.017
State	Published - Mar 2018

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Cardiology and Cardiovascular Medicine

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title = "Transient and Regional Ischemia Related to Continuous Saline Solution Infusion during Radial Artery Access",

abstract = "This case series illustrates a radial access complication seen in 7 of 9 consecutive patients (age range, 44–53 y) undergoing uterine artery embolization in May and June 2017. Demonstrative images and videos identify a transient and clinically consequential skin ischemia caused by intraprocedural saline solution infusion through the occlusive radial artery sheath. All complications documented were classified as mild adverse events (class A) according to Society of Interventional Radiology criteria. Complication severity ranged from transient blanching to ischemic necrosis of the skin. Operator cognizance of this phenomenon with appropriate adjustment of saline solution infusion rates will prevent tissue ischemia and necrosis in radial access cases.",

author = "Nicholas Xiao and Jonathan Lindquist and Vogelzang, {Robert L.}",

year = "2018",

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N2 - This case series illustrates a radial access complication seen in 7 of 9 consecutive patients (age range, 44–53 y) undergoing uterine artery embolization in May and June 2017. Demonstrative images and videos identify a transient and clinically consequential skin ischemia caused by intraprocedural saline solution infusion through the occlusive radial artery sheath. All complications documented were classified as mild adverse events (class A) according to Society of Interventional Radiology criteria. Complication severity ranged from transient blanching to ischemic necrosis of the skin. Operator cognizance of this phenomenon with appropriate adjustment of saline solution infusion rates will prevent tissue ischemia and necrosis in radial access cases.

AB - This case series illustrates a radial access complication seen in 7 of 9 consecutive patients (age range, 44–53 y) undergoing uterine artery embolization in May and June 2017. Demonstrative images and videos identify a transient and clinically consequential skin ischemia caused by intraprocedural saline solution infusion through the occlusive radial artery sheath. All complications documented were classified as mild adverse events (class A) according to Society of Interventional Radiology criteria. Complication severity ranged from transient blanching to ischemic necrosis of the skin. Operator cognizance of this phenomenon with appropriate adjustment of saline solution infusion rates will prevent tissue ischemia and necrosis in radial access cases.

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Transient and Regional Ischemia Related to Continuous Saline Solution Infusion during Radial Artery Access

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