Radial catheterization contraindication

Contraindications to Utilization of the Radial Approach to Cardiac Catheterization

 * 1) Cellulitis or other infections over the radial artery
 * 2) Absence of palpable radial artery pulse
 * 3) Abnormal Allen test, indicating that only one artery supplies the hand
 * 4) Coagulation defects (relative)
 * 5) Patients who may require intra-aortic balloon pump counterpulsation (IABP)
 * 6) Devices that are not compatible in 7F or smaller sheaths such as TEC, larger Rotoblator burrs, certain stents
 * 7) Presence of upper extremity peripheral vascular disease such as Buerger's disease and severe Raynaud's disease
 * 8) Congenital abnormalities of upper limb vasculature such as extreme tortuosity, anomalous take off of the radial artery, or severe atherosclerosis
 * 9) Abnormal oximetry/ plethysmography