What is the most common complication after radial artery cannulation?

What is the most common complication after radial artery cannulation?

The most common complications were hematoma (n = 39) and radial artery occlusion (n = 28). Other complications included pseudoaneurysm (n = 7), arteriovenous fistula (n = 3), carpal tunnel syndrome (n = 4), arterial perforation (n = 3), persistent vasospasm (n = 2), and compartment syndrome (n = 1).

Why can you not Cannulate an artery?

[5] Confirmation is carried out by blood gas analysis, pressure transducer and ultrasound. Complications of entering the artery with a large cannula intended for venous cannulation can result in complications such as temporary occlusion, pseudoaneurysm and haematoma formation.

How do you manage radial artery pseudoaneurysm?

Currently, the available proven techniques for the treatment of pseudoaneurysms include surgical repair, ultrasound-guided compression repair (UGCR), and ultrasound-guided thrombin injection (UGTI).

Which artery is used for cannulation?

An indwelling arterial catheter allows for continuous blood pressure monitoring, frequent blood sampling, and arterial blood gas measurement. The radial artery is chosen for cannulation primarily because of the superficial nature of the vessel and ease of maintenance of the site.

What are the complications of radial artery puncture?

DISCUSSION

• Radial artery puncture is frequently performed in many EDs.
• Common complications after radial artery cannulation include temporary radial artery occlusion (19.7%), hematoma (14.4%), infection (0.72%), hemorrhage (0.53%), and bacteremia (0.13%).

What happens after a radial heart catheterization?

It is normal to experience the following at your procedure site: • A small amount of bleeding from the site for 48 hours after the procedure. Bruising (may take 2-3 weeks to go away) • Slight numbness or tingling in your hand after the procedure that should improve over several hours.

How do you know if you Cannulate an artery?

Clinical clues and methods used to identify and confirm unintended arterial cannulation during anaesthesia are presence of backflow of pulsatile bright-red blood, pain on injection and/or blanching distal to site of injection, blood gas analysis and pressure transduction.

How long does it take pseudoaneurysm to heal?

A small pseudoaneurysm may close on its own in about 4 weeks. You may need any of the following to treat a pseudoaneurysm that does not close: Debridement is a procedure used to remove dead tissue. You may need this if the area around your pseudoaneurysm becomes infected.

What causes radial artery pseudoaneurysm?

The pseudoaneurysms of the radial artery are uncommon, generally secondary to trauma or invasive procedures such as arterial catheterisation (0.09%). 1 ,2 Predisposing factors are advanced age, longer duration of catheterisation, coagulation disorders or use of anticoagulants/antiplatelet agents.

Which is the most ideal artery for arterial cannulation?

The most popular sites for cannulation are the femoral arteries or the axillary arteries. Satisfactory results have been published by these cannulation approaches [2, 3]. Femoral arterial cannulation remains the preferred approach for surgical repair in patients with AADA.

What is cannulation procedure?

Intravenous (IV) cannulation is a technique in which a cannula is placed inside a vein to provide venous access. Venous access allows sampling of blood, as well as administration of fluids, medications, parenteral nutrition, chemotherapy, and blood products.