Transradial Cardiac Catheterization
What is transradial cardiac catheterization?
Transradial cardiac catheterization is a procedure used to treat and diagnose certain
heart conditions. It's also known as transradial cardiac cath or angiography.
During the procedure, a healthcare provider inserts a long thin tube (catheter) through
the radial artery. The radial artery is a blood vessel in the wrist. He or she then
threads this tube through the blood vessels all the way to the heart with the help
of special X-rays. This tube may have various tools attached to it, depending on the
reason for the procedure. For example, the healthcare provider may put a special dye
inside the catheter to take X-ray pictures of the arteries in your heart. The catheter
might have a balloon attached to it. This catheter and balloon help open up blockages
in your heart’s arteries.
Why might I need transradial cardiac catheterization?
There are many reasons you might need this procedure. You may need it if you are having
chest pain. The procedure can show whether the heart’s arteries have become blocked
because of coronary artery disease. It also helps your healthcare provider determine
a treatment plan. This test is called coronary angiography.
If you have a known blockage in a coronary artery, you may need a cardiac catheterization
using a technique called coronary angioplasty. Your provider attaches a balloon to
the tip of the catheter. When the balloon is in place, it's inflated and presses the
plaque to the side of the blood vessel. That increases blood flow through the artery.
A stent is often placed at the blockage site to keep the vessel open.
Healthcare providers also use cardiac catheterization to do other procedures on the
heart. For example, they can use it to open a narrowed heart valve. It's less invasive
than open heart surgery.
If you need cardiac catheterization, your healthcare provider may recommend the transradial
type. The transradial approach may have a mildly lower risk for complications compared
with the method that goes through a blood vessel in the leg (transfemoral). Your recovery
may be shorter and easier as well when compared to the transfemoral approach. Not
all surgical centers use this type of cardiac catheterization regularly. Ask your
healthcare provider if it might make sense for you.
What are the risks of transradial cardiac catheterization?
In general, the risks of this procedure are low. Some may be even lower using the
transradial approach. Possible complications include:
Abnormal heart rhythms
Puncturing the heart or coronary arteries
Allergic reactions to the numbing medicines, skin products, contrast dye, or sedatives
Blood clot. This can lead to stroke or other problems.
Pain and swelling at the catheter insertion site
Nerve damage to the wrist and hand
Damage to blood vessel supplying the wrist and hand
Death (very rare)
Your own risks may differ based on your age, your health problems, and the reason
for the procedure. Ask your healthcare provider about your specific risks.
How do I get ready for transradial cardiac catheterization?
Ask your healthcare provider about how to get ready. Follow any directions you are
given for not eating or drinking before the procedure. You may also need to stop taking
certain medicine beforehand.
Let your healthcare team know about your health history. Tell them about all medicines
you take. This includes over-the-counter and prescription medicines,, herbal medicines,
and supplements. Tell your provider if you think or know that you are pregnant or
if you are breastfeeding. Tell your healthcare team about any allergies you have.
This includes allergies to contrast dye and skin products, and any reactions to anesthesia
Your healthcare provider may want some extra tests before the procedure. These might
Electrocardiogram, to look at heart rhythm
Blood tests, to check general health
Echocardiogram, to look at heart anatomy and blood flow through the heart
An IV will be placed in your hand or arm before the procedure starts. Any hair from
the area around the catheter insertion may be removed. You may get medicine to help
prevent blood clots.
What happens during transradial cardiac catheterization?
Talk with your healthcare provider about what to expect. The specific details of the
procedure may vary based on the reason for it. In most cases, a cardiologist and a
team of specialized nurses will do the procedure in a cardiac catheterization lab.
You will get medicine to make you sleepy. But you will be awake during most types
of cardiac catheterization. Sometimes the procedure happens under general anesthesia.
During the procedure, the medical team will carefully watch your vital signs.
The blood flow in the wrist and hand will be assessed before the procedure.
A numbing medicine will be injected into your arm to numb the spot where the catheter
will be placed.
The doctor makes a tiny puncture into the artery in the wrist.
He or she then puts in a long, thin tube (catheter) and threads it through the blood
vessel into your heart.
The provider may use X-ray images and echocardiogram to see exactly where the catheter
Using the catheter, the healthcare provider will do the next steps of the procedure.
For example, he or she opens up a blocked coronary vessel.
Once the procedure is done, the catheter is removed through the blood vessel.
The catheter insertion site will be closed and bandaged. Medical staff will put pressure
on the site for a time to prevent bleeding.
What happens after transradial cardiac catheterization?
Ask your healthcare provider about what to expect after the procedure. Your healthcare
provider may have specific instructions based on the reason for why you are having
it. In general:
You may be groggy and disoriented for a while.
Your heart rate, breathing, blood pressure, and oxygen levels will be closely watched.
You will feel some soreness. But you shouldn’t feel severe pain. Pain medicine is
available if needed.
Your healthcare provider might give you medicine to keep your blood from clotting
if a heart artery was opened or stent deployed.
Your healthcare provider may order follow-up tests such as an electrocardiogram or
If your condition is stable, you may be able to go home the day of the procedure.
If so, you will need to have someone drive you home.
After you leave the hospital:
Ask what medicine you need to take. You may temporarily need to take antibiotics or
medicines to prevent blood clots. Take pain medicines as needed.
You can resume your normal activities fairly quickly. But avoid strenuous activities
and heavy lifting for several days.
Be sure to keep all follow up visits.
Call your healthcare provider if you have increased swelling, chest pain, increased
bleeding or drainage, a fever, or severe symptoms.
Follow all the instructions your healthcare provider gives you about medicine, exercise,
diet, and wound care.
Before you agree to the test or the procedure make sure you know:
The name of the test or procedure
The reason you are having the test or procedure
What results to expect and what they mean
The risks and benefits of the test or procedure
What the possible side effects or complications are
When and where you are to have the test or procedure
Who will do the test or procedure and what that person’s qualifications are
What would happen if you did not have the test or procedure
Any alternative tests or procedures to think about
When and how you will get the results
Who to call after the test or procedure if you have questions or problems
How much you will have to pay for the test or procedure