Radial catheterization contraindication

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Absence of palpable radial artery pulse
Abnormal Allen test (oximetry/ plethysmography), indicating that only one artery supplies the hand
Presence of upper extremity peripheral vascular disease such as Buerger’s disease and severe Raynaud’s disease
Presence of arteriovenous shunt for dialysis
Potential use of the radial artery as a conduit for aortocoronary bypass
Cellulitis or other infections over the radial artery
Coagulation defects
Patients who may require intra-aortic balloon pump counterpulsation (IABP)
Devices that are not compatible in 7F or smaller sheaths such as TEC, larger Rotoblator burrs, certain stents
Congenital abnormalities of upper limb vasculature such as extreme tortuosity, anomalous take off of the radial artery, or severe atherosclerosis

References