Chapter 42: Radial Artery Occlusion Treatment

Current evidence of post-procedural radial artery occlusion (RAO) treatment in literature is relatively low and mainly includes case reports or very small series of patients, which is in contrast to a rapidly increasing number of transradial diagnostic and interventional procedures and publications. The probable reason for this is that almost all of these post-procedural initially thrombotic occlusions are asymptomatic. The incidence of RAO in literature ranges from 1% to 30%. Therefore, in the worst case, there is a potential risk of up to 300 occlusions for every 1000 transradial procedures. Fortunately, in many PCI centers this incidence is well under 10%, and half of these acute occlusions are spontaneously recanalized in a few weeks or months.

Ivo Bernat, MD, PhD