Non-target digital ischemia in an ulnar artery distribution following transradial access: Case report and review of best practice techniques

Transradial access is a safe approach for visceral endovascular interventions, with lower complication rates compared to transfemoral access. This report describes an unusual case of ulnar artery thrombosis following splenic artery aneurysm embolization via left transradial approach, resulting in no...

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Detalles Bibliográficos
Autores principales: Kennedy, Patrick, Klass, Darren, Chung, John
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SAGE Publications 2021
Materias:
Case Reports
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9260484/
https://www.ncbi.nlm.nih.gov/pubmed/33719726
http://dx.doi.org/10.1177/11297298211000897
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author Kennedy, Patrick
Klass, Darren
Chung, John
author_facet Kennedy, Patrick
Klass, Darren
Chung, John
author_sort Kennedy, Patrick
collection PubMed
description Transradial access is a safe approach for visceral endovascular interventions, with lower complication rates compared to transfemoral access. This report describes an unusual case of ulnar artery thrombosis following splenic artery aneurysm embolization via left transradial approach, resulting in non-target digital ischemia and eventual amputation of the ring and little finger distal phalanges. Technical considerations to reduce the incidence of access complications are also reviewed, along with practice modifications undertaken at our institution following this case to improve outcomes.
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spelling pubmed-92604842022-07-08 Non-target digital ischemia in an ulnar artery distribution following transradial access: Case report and review of best practice techniques Kennedy, Patrick Klass, Darren Chung, John J Vasc Access Case Reports Transradial access is a safe approach for visceral endovascular interventions, with lower complication rates compared to transfemoral access. This report describes an unusual case of ulnar artery thrombosis following splenic artery aneurysm embolization via left transradial approach, resulting in non-target digital ischemia and eventual amputation of the ring and little finger distal phalanges. Technical considerations to reduce the incidence of access complications are also reviewed, along with practice modifications undertaken at our institution following this case to improve outcomes. SAGE Publications 2021-03-14 2022-07 /pmc/articles/PMC9260484/ /pubmed/33719726 http://dx.doi.org/10.1177/11297298211000897 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/This article is distributed under the terms of the Creative Commons Attribution 4.0 License (http://www.creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ) which permits any use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access page (https://us.sagepub.com/en-us/nam/open-access-at-sage).
spellingShingle Case Reports
Kennedy, Patrick
Klass, Darren
Chung, John
Non-target digital ischemia in an ulnar artery distribution following transradial access: Case report and review of best practice techniques
title Non-target digital ischemia in an ulnar artery distribution following transradial access: Case report and review of best practice techniques
title_full Non-target digital ischemia in an ulnar artery distribution following transradial access: Case report and review of best practice techniques
title_fullStr Non-target digital ischemia in an ulnar artery distribution following transradial access: Case report and review of best practice techniques
title_full_unstemmed Non-target digital ischemia in an ulnar artery distribution following transradial access: Case report and review of best practice techniques
title_short Non-target digital ischemia in an ulnar artery distribution following transradial access: Case report and review of best practice techniques
title_sort non-target digital ischemia in an ulnar artery distribution following transradial access: case report and review of best practice techniques
topic Case Reports
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9260484/
https://www.ncbi.nlm.nih.gov/pubmed/33719726
http://dx.doi.org/10.1177/11297298211000897
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