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Indexed/Abstracted in: BIOSIS Previews, EMBASE, Scopus, Emerging Sources Citation Index
Online ISSN 1827-1812
Robby R. SINGH 1, Harshinder SINGH 2
1 Department of Internal Medicine, Wayne State University, Detroit Medical Center, Detroit, MI, USA; 2 Department of Cardiology, Florida Hospital, Tampa, FL, USA
Trans radial approach is becoming an increasingly common technique for coronary angiography due to a reduced risk of vascular complications. Anatomical variations of the radial artery can sometimes result in procedure failure, specifically with an unrecognized radial artery loop leading to wire induced perforation. Sixty-three year old male who underwent coronary angiography via the radial artery felt extreme pain when the catheter inadvertently entered the small recurrent radial artery. Catheter was withdrawn and hydrophilic guide wire was advanced with care under fluoroscopy avoiding recurrent radial artery. Catheter was then advanced over the guidewire and procedure was completed.