Can the performance of heart catheterization though the radial artery in a patient suffering of chronical renal failure to compromise the possibility of performance of hemodyalisis in the future?
Based on the prospectively collected registry data at our institution, post-procedural radial artery occlusion at 6-24 hours is <1%. It should be noted that we routinely use an anticoagulant/spasmolytic cocktail in all patients, immediately following sheath insertion and this may impact patency rates (vs. selective use). In other published literature, the rate of spontaneous radial recanalization has been estimated at 50-70%. In discussions with our vascular surgery colleagues, it seems unlikely that radial access would compromise dialysis access in the future.
