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Transradial (Wrist) Approach to Angiograms or Angioplasty      Email Bookmark and Share
What was your experience if you had an angiogram or angioplasty where the forearm/wrist was used for catheter access?

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Radial Access Center

Current Postings on This Page (81):

• Madmidwife in Manchester -- As we coined the phrase, during our interview with Dr. Samir Pancholy about radial artery occlusion, "Long and strong in the radial is wrong." It is possible that this has occurred and may be causing the pain. We would suggest visiting the cardiolgist who did the procedure -- and definitely letting him/her know about the issue with the TR Band. In fact, one of the advantages of the TR Band is that, when used correctly, it "leaks" air over time, which works well in terms of reducing the tightness.
Forum Editor, Angioplasty.Org, May 15, 2012

• Hi, I had a radial angiogram 17 days ago. After the op the TR band was applied too tight and caused my hand to swell and turn blue for approx half an hour. The band had to be removed which caused bleeding and it was replaced after. When it was removed I was found to have a haematoma. I ended up with severe bruising which I expected. Today, I appear to have cellulitis - redness, harness, swelling and pain. Is this normal and should I return to the cardiologist or visit my GP
Madmidwife, Manchester, United Kingdom, May 15, 2012

• My husband had a stent inserted on April 2nd through his wrist, his arm and hand is terribly swollen, X-rays have shown no problem but this is reducing his ability to get back to exercise, any thoughts please.
Patricia in Cyprus, Cyprus, May 5, 2012

• To all posters who are experiencing problems such as the ones below after a radial access procedure -- definitely contact the cardiologist who did the procedure ASAP. He/she may be able to help alleviate the problem, if it is dealt with early on. It is also important to let the operator know of any complication. As we have written, the access site complication rate for the radial/wrist approach is lower than that for the femoral/groin approach, especially for serious complications such as bleeding. But the types of issues discussed by posters in this topic are very important to note, especially for cardiologists practicing the radial approach. Again, not common, but it exists. Any comments from physicians reading these Forums would be most appreciated.
Forum Editor, Angioplasty.Org, April 29, 2012

• I had the wrist catheterization on 4/16/12. Since then I can barely move my left wrist it was infected with a 6" blockage and put on antibiotics but the pain is so severe that I can't sleep at night. I was told there is really nothing they can do for the blockage or pain has anyone else run into this problem?
John U, Pennsylvania, USA, April 29, 2012

• I had an angiogram done 5 weeks ago via my wrist. The veins in my hands are now swollen and protruding, is this likely to go and is it serious?
Chrissy, England, April 23, 2012

• It is now a week and two days since my procedure and my hand and arm are still causing me pain. The base of my thumb and the bottom of my palm are numb and my arm is very tender a few inches up my arm from the insertion site. Is it likely that I have impaired circulation (my wrist is far too tender to feel for a pulse) and/or nerve damage?
Alice, Queensland, Australia, April 22, 2012

• hi i had a heart attack 3 years ago,age 41. i had an angiogram in my right wrist. 3 days after i had the anigogram i had the most horrific pain in my wrist. the hospial said it was from the bleeding and that it will go, and it did, but every now and then i get the same pain in my wrist what can it be?
Cheryl, Newport Gwent, South Wales, UK, April 18, 2012

• I had a right radial angiogram four days ago. Fortunately no signs of coronary disease were found. Since the procedure I have experienced pain at the insertion site and also a tight, numb feeling in the base of my thumb. When I walk and my hand is hanging at my site the pain in my wrist becomes worse. Also there have been times when in have moved my thumb and felt a stabbing feeling in the muscle in the base,, almost like a feeling of release or a little electric shock. Hard to describe exactly. Are all of the symptoms normal? The wound seems to have healed well and there is a little bit of yellow brushing around it.
Alice, Queensland, Australia, April 16, 2012

• Jo in Canada -- Read through other posts on this Forum Topic and you will find others with similar problems. Our suggestions is to definitely contact the cardiologist who did the radial procedure (were both the first and second procedures done via the right wrist?) and let him/her know about this complication. Pain usually resolves within a month but, if not, the cardiologist may be able to help.
Forum Editor, Angioplasty.Org, April 13, 2012

• Hi. My boyfriend had stent put in a month ago by the right wrist. He is now experiencing pain in his right arm from wrist to shoulder. Can you tell me what can be done to alleviate the pain and how long this will last? He had a heart attack. Had 100% blockage of 1 artery on the right side of his heart and 2 - at 70% on the left side. They put the first stent in the night of the heart attack and then 2 stents 3 days later. It has been 4 weeks since this has happened. He has got lumps around the point of entry. Just extreme pain up his arm in which he can not use it.
Jo, Calgary, Alberta, Canada, April 13, 2012

• I did have dye via both armpits and have had the pain/skin-cracking and swelling ever since 2004. It was almost immediately after it was done. I have seen specialists, nerve specialist and everything has been tried to no avail. Also, have had dye put in left elbow bend to check my heart and artery collapsed and had to have surgery to open it. In 1991, had vascular surgery and main artery was replaced with whatever is used today. It was a several hours surgery and was on a heart and lung machine. I have had several sessions with dye and never had the armpit one but once and have had problems mentioned since. Any help will be appreciated. It was mentioned that 8 years is too long for this to go on. It has been since 2004.
CJ MISSOURI, Retired Office Worker/Seamstress, Missouri, USA, April 7, 2012

• CJ from Missouri -- Back in August, you posted about your situation and we recommended that you consult either a neurologist or vascular surgeon, since you may have had a complication relating to a nerve. Wondering if you have done that? Also, as we wrote, you are posting to a topic on "radial access", but your procedure was not done via the radial artery (which is in the wrist) but was done through the armpit, or axillary approach -- which is not common. The lack of healing may have to do with a circulatory problem; it's really not possible to say without a thorough examination. The skin problems might have been a reaction to the contrast dye use in the arteriogram, but that isn't something that would last for 8 years.
Forum Editor, Angioplasty.Org, April 7, 2012

• Since 2004, when I had an arteriogram via both armpits, have severe pain both arms and skin cracking, swelling on right hand. Stiff forefinger and thumb, severe crack in palm. Won't heal with anything. These reactions began day after test and have continued. Where do I go from here? No doctor has been able to help? Never had any skin problems before this.
CJ, Retired Office Worker/Seamstress, Missouri, USA, April 6, 2012

• For Faith, Massachusetts - Go to your physiotherapist. I had a stent inserted through my wrist and experienced excruciating pain afterwards, mostly when trying to sleep, with my forearm being purple for weeks. My cardiologist just said 'it will pass' and told me to take stronger pain killers! I bet if he'd been in the pain I was in he would've resented those condescending, dismissive comments as much as I did. Luckily I thought to go to my wonderful physio who treated me for several days by putting my arm in a gentle pump-sleeve and used ultrasound which alleviated the fluid build up. I hope this helps and I do empathise with what you've been through.
Di from Sydney, Australia, April 4, 2012

• Faith in Massachusetts -- You might want to contact the interventional cardiologist who did the radial procedure: he/she should know about your complication and also may have some recommendations. Complications from the radial procedure are not common, but they do occur. One is a "radial artery occlusion" which usually has no symptoms, but some patients experience pain from this. Dr. Samir Pancholy discusses radial artery occlusion in his interview with Angioplasty.Org
Forum Editor, Angioplasty.Org, April 3, 2012

• I had radial angioplasty on 2/8/2012. 3 days later I laid down for a nap & when I awoke I had extreme pain from my elbow to shoulder. I went to my referring Cardiologist who thinks maybe they hyperextended my arm. My primary sent me to PT. It is now 9 weeks later &I am stull in pain. Is this common?
Faith, Massachusetts, April 2, 2012

• Canhero -- We see you have also posted to our Forum Topic on "Not Feeling Well After Stenting" where you might find similar stories. As for the radial (wrist) approach, we're glad that you've had no access site complications from having it done that way -- especially since your procedure took four hours!
Forum Editor, Angioplasty.Org, March 29, 2012

• Just had the procedure done 2 weeks ago via the radial approach here in Çosta Rica. 3 stents put in during a 4 hour procedure for 2 100% blocked arteries and 1 at 30% blocked. The last 45 minutes of the procedure was very difficult for them and for me (something about calcium making it difficult to work on me). I became very cold, numb and had tunnel vision. Then spent several days in intensive care with no bad episodes and then went home. Good news is the wrist and arm, other than some initial bruising and soreness, are pretty much fine. Bad news is, and I gather this is quite common, I don't notice any marked improvement in my condition post procedure. Still extremely tired, substantial pain if I do ANY type of exercise, and the 2 hour drive to my office is a nightmare. As long as I don't do ANYTHING, I am OK. Tough to manage though, with a family which a includes a 2 and half year old. Any suggestions, and can I expect my quality of life to improve or not?
Canhero Costa Rica, Heredia, Costa Rica, March 16, 2012

• This is Lenore again - I wrote in October after my radial catheterization. I went to see Dr. Pancholy after being referred from this site. He was a great guy and confirmed the 4" occlusion in my right wrist/forearm.... unfortunately he explained it was solidified and I would have to live this way. I experience pain and numbness daily and find my thumb/palm area turns dark blue and throbs throughout the day.... I'm 40 years old and am finding that the everyday things hurt, folding wash, typing, flipping food with tongs etc only causes more pain. Some days are better then others - Not sure where to turn and wasn't sure if anyone has any other options. Seems like the doctors all cover for each other at this point.
Lenore, Pennsylvania, USA, March 3, 2012

• Exfellwanderer -- definitely make sure the cardiologist is told about your issues. It's possible that you experienced a radial artery occlusion which a current study from Leipzig, Germany showed occurs more frequently than reported. It resolves in about half the patients with antithrombotic treatment.
Forum Editor, Angioplasty.Org, February 19, 2012

• I had an angioplasty done via the wrist two weeks ago and had seven stents fitted in three arteries. I am 77 years of age. Although badly bruised on leaving hospital I was feeling quite good, but after a few days pain in my lower arm appeared and gradually got worse, causing me an acute lack of sleep. I mentioned it when visited by a cardiac rehabilitation nurse who advised me to take painkillers. This approach has not worked. I am glad that I found this website as I realise that this problem is not unique to me and take some solace from this. I will be seeing the nurse again on Tuesday and will be a bit more assertive in enquiring what can be done about it. At the very least I am now thinking that I should see my GP and perhaps I should ask him to inform the cardiologist.
Exfellwanderer, West Yorkshire, UK, February 17, 2012

• i had a radial angio 2 weeks ago. Once the local anesthetic wore off i had pins and needles and cold sensation in my right arm. i called cardio unit who took a look at the wound to be told nothing wrong. 5 days later end up in a&e as arm swollen and wound looking very infected. Infection wound now tracing up my arm pins and needles still there and was told it is sitting on a nerve that's why the pain goes up my arm and into my shoulder and across into my chest. Prescribed strong antibiotics but no explanation as to why this has happened. Feel utterly let down by hospital. The wound has now burst the pain has still not subsided can this be the start of a long recovery process. I wish that when u go for this procedure that the doctors tell you of the possible side effects that could happen. the after care of most people seem to be the same u have to get on with it.
Jan, Northamptonshire, UK, February 16, 2012

• Jan L. in Iowa -- Sorry to hear of arm pain following your radial procedure. Why you are having pain post-procedure is not clear. Have you discussed this issue with the interventional cardiologist who did the procedure?? It would be important to do so, not just for being able to get help, but also to let him/her know about this complication for future patient care.
Forum Editor, Angioplasty.Org, January 23, 2012

• I have been having terrible pain in my hand, thumb and fingers, and wrist after having a radial cardiac catheterization. I did have problems post procedure with bleeding. I've had an arterial ultrasound, which was normal. Even if I life something that is very light, it is painful. What can I do to treat this? And what is probably the cause?
Jan L., Coralville, Iowa, USA, January 23, 2012

• Hi Lynn from Mississippi -- The radial approach isn't really done for angioplasty in the leg, since the femoral artery is the main conduit to the leg (makes no sense to thread a catheter in the wrist, up around the arm, and then down all the way to the lower leg. The wire and catheter would be extremely long, impacting the ability to maneuver them. And yes, an angiogram only can certainly be done to pinpoint the problem -- but then another similar procedure would be needed for the angioplasty. Many cardiologists/radiologists/vascular surgeons who perform these procedures would advise adding the balloon or balloon/stent onto the angiogram -- something which adds about 15-30 minutes but involves very little else. Most of the pain associated with these type of procedures has to do with getting access -- which is the same whether angiogram or angioplasty. The doctors will no doubt administer sedatives, but you should discuss with him/her what they use and what your sensitivity to pain is. It would be hard for a blockage to "get well" on its own. Bypasses can be done, but this is something you should, again, discuss with your doctor. As for coronary disease, atherosclerosis (narrowing of the arteries) is a systemic disease. If blockages occur in the leg, they may also be elsewhere. Whether or not they are significant enough to warrant an intervention is the question.
Forum Editor, Angioplasty.Org, January 23, 2012

• HI. I've been reading your angiogram posts. Here wrist approach, instead of femorally, seems to be new. I would like to know how wrist approach is done to push angioplasty balloon stent to lower left leg through artery? This is due to a totally numb,painful left foot, which began June 2011. For 6 wks., very painful. The pain is better now, except for walking, but the numbness is not going away. A CAT scan in August of 2011 showed two occluded arteries in lower leg, one less severe. What sorts drugs are routine for this conscious sedation test? I heard some doctors give a drug so you will not remember what happened. Why? All leg stents I know of from friends were done femorally. If wrist approach is easier and less painful, why isn't it used all the time. I'm afraid of having angioplasty done. Why can't angiogram be done to pinpoint problem without immediately having the balloon procedure? Also, what would be reason to have bypass surgery instead? Would that be general anesthesia? If I do nothing, can foot get well on its own. Why is only one leg affected? I've had no heart problem, but have a little chest discomfort at times. My foot is the problem. Thanks.
lynn, Mississippi, USA, January 23, 2012

• Hi again Lydia. It wasn't a 'wrist band' that my physiotherapist applied. It was an inflatable sleeve (full length of forearm) that gently pumped up & down to relieve the fluid build-up and was the only thing that eased the pain. I hope that's helpful.
Di in Sydney, Australia, January 19, 2012

• Lydia -- Just a point of reference here. The wrist band that is applied right after the radial angiography helps stabilize and stop any bleeding. But it's usually only left on for a short period: an hour or two. There are several brands: TR Band, RadiStop, etc. The inflatable sleeve that Di is talking about, we think, is a different thing altogether. Don't know what the name is though.
Forum Editor, Angioplasty.Org, January 19, 2012

• Thank you for the information Di, Sydney, Australia. He did have the wrist band after his procedure, and it was monitored very closely for 24 hours. The pain began in intensity directly after the procedure, his forearm was very swollen, and as you, he was in pain and bruised from his right wrist to his elbow with pain also radiating into his shoulder, and still is bruised. His doctors are saying it was from the trauma the artery went through and prescribed pain meds. They also do not seem too concerned as long as they have ruled out a blood clot. They just say to wait and see if it goes away! I'll contact the doctor's nurse today and see if we can get another wrist band for him. If it worked for you, then perhaps there is hope. Is your pain completely gone now after using the wrist band?
Lydia, Pengilly, Minnesota, USA, January 19, 2012

• I also experienced terrible pain in my right after angioplasty. I was purple from my wrist to elbow and the pain of it would wake me during the night, so I sympathize with your husband. My cardiologist didn't seem to take it seriously and just suggested more pain killers - they didn't work. Luckily, I thought to go see my physiotherapist who treated it with an inflatable sleeve pump (I don't know the correct name for it but it pumps up & down to relieve inflammation). I can't tell you how grateful I was to her. Maybe you could try the same. Good luck.
Di, Sydney, Australia, January 17, 2012

• Lydia in Minnesota -- You should definitely call this to the attention of the cardiologist who did the radial procedure. He/she may be able to help and also should be made aware of the complication. The wrist pressure band is just a way of stopping the bleeding, which is minimal. It's important to remember that the pressure band should not be put on too tightly or left on too long a period.
Forum Editor, Angioplasty.Org, January 16, 2012

• My husband had a heart attack December 9, 2011. Had 2 stents put in through his groin for 90% blockages. A third artery with 80% blockage was being treated for few weeks with meds, diet and therapy. However upon his stress test a few weeks later, the doctor decided not to prolong and arranged for a third stent on January 6th, 2011. They went in through the right wrist. Since the procedure, my husband has had sporadic continuous excruciating pain from his wrist all the way up to his shoulder. They did treat him with the wrist pressure band while in the hospital. This last weekend 01/14/12, had an ultrasound, chest x-rays and lab work, all of which were negative for clots, nerve damage or any other side effects. He still experiences such bad pain in his right arm that he cannot even sleep. Does anyone else have this problem? Otherwise, he is doing great and starts rehab all over again today, 1/16/12.
Lydia - MN, Pengilly, Minnesota, USA, January 16, 2012

• Jill from Ontario -- if you are having a cath done from the radial (wrist) approach, you should be able to have your legs slightly bent -- but you should call the cath lab ahead of time and let them know of your limitations/needs, so they can be prepared to make you as comfortable as possible. Maybe, if you can't get through to the cardiologist, a cath lab nurse or technician can help.
Forum Editor, Angioplasty.Org, January 12, 2012

• I was wondering if someone can answer a question. I am going in for my 2nd angiogram next week but I am unable to lay flat on my back without bending both my legs as well as having to pillows under my head..Will they still be able to do the angiogram?
Jill, Essex, Ontario, Canada, January 12, 2012

• The cardiologist mentioned the 'big' but rare risks associated with angiograms but not the debilitating after effects of right Radial artery access. My brachial artery went into spasm during the procedure. i seemed to lose my pulse for 8 days, got breathless and exhausted so went to A&E cos i thought i was`having a DVT. Nothing abnormal and after some pain, they found a pulse. I guess it will just take time to get itself better. Twelve days later i ache on both sides of upper and lower arm all way down to wrist and my arm and thumb cramp up really quickly. Luckily i am right handed and there's no other definitive way of diagnosing blockages!
cicely24, Northwest, UK, December 13, 2011

• Elmirah in Singapore -- As for the DSE being a false positive, this is not uncommon. Up to a third of the time, stress tests can be incorrect, usually as a false positive. A number of cardiologists, especially in the imaging field, feel that a CT angio may be a more appropriate initial test -- but this is a controversial subject in cardiology. In either case, a positive or inconclusive result usually leads to the cath lab -- which is where you had your problems. Again, sorry to hear that the radial procedure did not go smoothly. Can't say why, and can't really second-guess your cardiologist, but ideally this is not the way it is supposed to be.
Forum Editor, Angioplasty.Org, December 13, 2011

• Went through DSE for atypical chest pain last week 2011. Result was 90% inducible ischemia POSITIVE. Warded and undergo radial cardiac catheterization 2hours later. Given 4 "sedative" pills then wheeled to the cath lab. The procedure started with most painful insertion followed by a cut and forceful prodding. Believe me, I FELT every action the cardiologist did ???!!! He then cried "lots of blood" and told his assistant to attend. Thereafter, I sensed the catheter being rushed in. My unstrapped right leg was kicking and digging and I was freely shouting for pain -this time when the catheter got stuck above my elbow and later when it reached my "exploding" heart not due to the dye warmth but the hard prodding. The procedure was completed speedily with painful retrieval of drawn catheter and placing of compressed bandage. Reasons being it was NORMAL just like the procedure result. Given 2days inclusive Leave and 3days of painkiller. My questions are 1)How could a POSITIVE DSE turn out to be so FALSE 2) Must the NORMAL procedure be oh sooo painful and rushed 3) If the result is NORMAL-can the cardiologist dismiss the patient as rubbish just like his nurses insults at the ward? Perplexed*
Elmirah, Singapore, December 13, 2011

• I had an angioplasty 2 days ago and woke up this morning with a slight pain behind left ear. Its gradually got worse through the day. Paracetamol stops the pain for a few hours. Spoke to Cardio and to own GP and both said it can't be related but strange coincidence. Never had a pain behind ear before. Also, I was getting stomach pains before procedure which have now gone. Is this to be expected?
Tas, London, UK, November 25, 2011

• Ben and Marie -- Sorry to hear of arm pain following a radial procedure. While radial artery occlusion does occur, it normally does not have any adverse effects for the patient. Why you are having pain post-procedure is not clear. Have you discussed this issue with the interventional cardiologist who did the procedure?? It would be important to do so, not just for being able to get help, but also to let him/her know about this complication for future patient care.
Forum Editor, Angioplasty.Org, November 24, 2011

• Hello everyone, I had a femoral angiogram a few weeks ago followed by a radial angio last week. The femoral one was painful to walk on for approx. a week but the radial one, despite very little bruising to start with, is now so painful in my wrist it wakes me up at night. My inner forearm up to my armpit was a source of tremendous pain after the first couple of days, and a couple of points on my forearm were very delicate and inflamed and led to pain in my armpit, in addition to not allowing to extend my elbow without a severe 'pulling' sensation up my whole arm. This has now relaxed a bit but wrist is as painful if not more than it has ever been. It seems be constantly aching but then spasms into severe pain, also affecting my hand and forearm. It feels almost like it is cramping. I have read a lot of posts seemingly mentioning the same feelings and am worried it may be an occlusion. I am only 33 years old, with a healthy lifestyle (angiogram was to check a 'blockage' caused my genetic (not diet rltd) high cholesterol, and it turned out to be a myocardial bridge). How long should I wait until I should get it checked again, and should I worry about it being here for good?
Ben, Essex, UK, November 23, 2011

• RJS from Scotland -- thanks for sending in your positive experience. Our Forum can be a source of help for patients who have had have problems, but in the case of radial angioplasty, those problems are much fewer than with the more common (in the U.S. anyway) femoral approach. Still this Forum Topic can become the "complaint department" so it's good to get stories like yours -- that's actually the way it's supposed to be!
Forum Editor, Angioplasty.Org, November 12, 2011

• I had radial angiography 2 days ago, I thought it was a fascinating experience and was able to watch part of the procedure, on finding blockages in an artery the consultant asked if it was alright to proceed with intervention to rectify this. I said it was OK and he proceeded to insert 2 stents. I feel fantastic, have no "heart ache" or any problems with my arm. This procedure was carried out at the Royal Infirmary of Edinburgh, and I can't praise them enough.
RJS, Fort William, Scotland, November 9, 2011

• I suffered a heart attack in May 2009 was treated with angioplasty in right wrist had two stents fitted to open blocked artery. Two years down the line I have severe, constant pain and weakness in my right hand and arm, all the way to the shoulder this is excruciating, and keeps me awake. Any answers!
Marie, Preston, UK, November 8, 2011

• I had a heart cath in my right wrist. Everything I read makes it sound like the new best thing. I am in so much pain. I am on day 5 I cried all thru my surgery from the pain that started when the Dr inserted the cath and after. I went to the Dr yesterday and he said the pain couldn't be from him even though i cried thru the surgery from the same pain. I don't know where to go now. I cant go back to work like this. It is 5 am and I just woke up that is the only reason my hand is stable to type and reach out, later it will be shaky from use. If I had know the procedure was new and I was a guinea pig I never would have allowed the arm access. I had a heart cath thru the groin in 2005 and never had this kind of pain. This stops me from everything and he did it in my dominant hand.
Pain in Struthers, Struthers, Ohio, USA, October 29, 2011

• I had a radial angiogram in MAY, 2011 which was completely normal thankfully. I did get a cellulitis at the site a few weeks later and was treated with antibiotics, and it has become swollen and pink a few times since then. I do work as a unit clerk in an Emergency Dept. and think that the constant friction of my right wrist with the mouse for my computer at my desk did not help. I still have a lump under the site, and it sometimes gets larger, then recedes again. Right now, it is the best that it has been in weeks. I think I may have turned the corner. I am not sure if anyone else has had a problem such as this. My wrist is pain free, no other complications.
Bev, Campbellville, Ontario, Canada, October 29, 2011

• Kim -- Radial artery occlusion is one of the few complications seen in the transradial approach. Normally it is benign, i.e. there are no symptoms. But obviously that is not the situation in your case. Read our interview with Dr. Samir Pancholy, who has devised methods for correcting this complication. Whether this will relieve your pain is hard to say. Your pain may also reduce over time. As we discuss with Dr. Pancholy, the monitoring of the pressure band is very important and the pressure should not be "too strong or too long". Manufacturers have been developing bands that automatically loosen, but still this needs monitoring.
Forum Editor, Angioplasty.Org, October 29, 2011

• I recently had a cardiac catheterization done via transradial approach. After the procedure was completed, the techs put a band on the site with a band. I was then transferred to the floor to wait. I noticed my hand was extremely numb and mentioned this to the RN, who exclaimed and came and barely loosened the band. It didn't relieve the numbness but I assumed this was normal. A few days after, I noticed my arm was sore and bruised and showed this to the tech who performed the catheterization who said that it was normal. 5 days after the procedure, my arm continued to ache and I contacted the Cardiologist on call who said to come in to have an ultrasound done and they found a radial artery occluded. I am frustrated as my arm and hand still hurts and am now getting pain in my thumb. I feel this all could have been avoided had the RN paid more attention to me and had monitored my arm more closely. Is there anything that can be done now? I'm only 55 years old and I feel this was preventable. Thank you.
Kim, Clearwater, Florida, USA, October 28, 2011

• Had angioplasty 6 days ago with 1 stent being fitted. I had previously agreed with the interventionalist that stents would be fitted there and then if needed, rather than wait to a future time. I had femoral angioplasty 9 years ago when 2 stents were fitted (one of which later blocked and was unreachable at the time - a minor branch off one of the main arteries apparently).I would say that the radial approach was for me much more convenient and allowed me to be mobile more quickly and home the same day. I experienced some discomfort at the wrist during the procedure and an uncontrollable shaking (which also occurred when I had the femoral angioplasty). Since getting home I have been feeling much better, no angina currently and feeling more energetic (though I haven't done anything really energetic yet). I have had some mild discomfort from the wrist and just above and the bruise has now fully come out. Overall I'm feeling much better than previously and grateful to the Bristol Heart Institute. Cardiac rehabilitation will start next week so I feel that I am being well taken care of.
Gramps, Bristol, UK, October 25, 2011

• Lenore -- It sounds like you have experienced one of the few complications of transradial -- a radial artery occlusion. We're so sorry you have suffered this complication. Read our interview with Dr. Samir Pancholy, who has devised methods for correcting this complication. You may want to contact him as well, since he practices in Pennsylvvania. And please let the readers of this Forum know the outcome.
Forum Editor, Angioplasty.Org, October 18, 2011

• I am 8 days post right wrist catheterization. Left hospital with soreness within 4 days had pain and throbbing so extreme and intermittent numbness. Called cardiologist, had vascular ultrasound completed and located a 4" blockage from entry point to underside of forearm. Was given three options - leave alone and deal with pain... have very invasive surgery to replace artery or have additional catheterization which could cause stroke... any thoughts??? live near philly and need another medical opinion.....
Lenore, Philadelphia, Pennsylvania, USA, October 18, 2011

• Miss Concerned -- you have posted to our topic on the Radial (Wrist) approach to angioplasty. But you say your husband had angioplasty via the groin (the femoral artery). No idea why he would have problems in his hand from this. Also the procedure was done several months ago...so this might be something completely unrelated.
Forum Editor, Angioplasty.Org, October 18, 2011

• My husband had an angioplasty in May and June through the groin. He feels really good and we are just thankful that it was correct before it was too late. He has only just started having problems with his left hand. The thumb and joint is swollen and aching all the time. Is this a common occurrence? should we be concerned?
Miss Concerned, Northamptonshire, UK, October 18, 2011

• Heather in New York -- we would urge you to contact the cardiologist who did the procedure. He/she may have advice -- but certainly should be aware of the complication you are reporting. Please let us know what you find out.
Forum Editor, Angioplasty.Org, October 17, 2011

• Can a radial angiogram cause a lump in the arm about three inches above the wrist six weeks after the procedure? I had very few symptoms other than some bruising and sensitivity for a short time. About 9 weeks later, the lump has gotten fairly large and hurts if I put pressure on it.
Heather R, New York, USA, October 1, 2011

• Fefe in Houston -- We think your cardiologist may be referring to a radial artery occlusion. It's the most common complication from a radial procedure, although it is still quite rare. Read our interview with Dr. Samir Pancholy, who has devised methods for correcting this complication.
Forum Editor, Angioplasty.Org, October 1, 2011

• I had a catheter inserted through the wrist 4 months ago and a big zig zag lump comes in the wrist area. Dr said it is a blood clot but not dangerous....I am beginning to question that because the pain have now spread in fingers all the way up my arm to my shoulders, neck, and now in my jaw as well...Muscle hardens and pain is unbearable..nothing Dr can do but prescribe pain medication which does not work..lots of sleepless nights...
fefe, Houston, Texas, USA, September 27, 2011

• Lori in Illinois -- This is a question for your interventional cardiologist but, assuming there were no complications, one should be able to do a repeat procedure with no problems.
Forum Editor, Angioplasty.Org, September 15, 2011

• Can the radial procedure be performed twice in the same wrist? Is there a minimum time that one should wait?
Lori, Champaign, Illinois, USA, September 9, 2011

• Since June 26th I've had a radial angiogram, femoral angioplasty (2 stents) and most recently angioplasty performed right radial. There is no question that the radial approach was a more pleasant outcome. With the femoral, I had to remain on my back for 14 hours and had to be cathed. I ended up with a urinary track infection which was very painful. I did experience spasm with the removal of the wire in my first radial, but my doctor gave me medication on the second radial that made the removal pain-free.Very satisfied with Virginia Mason Hospital.
Bob, Seattle, Washington, USA, August 15, 2011

• CJ from Missouri -- thanks for your post. Sounds like the pain is related to the angiogram in some way. Have you consulted a vascular surgeon or a neurologist (in case this was from nerve trauma)? We're sorry to hear this. FYI, the "armpit" approach is not the same as the transradial approach, which accesses the artery fron the wrist. We're wondering if one of the reasons the "armpit" approach was used (not common) was because of peripheral disease preventing other access sites.
Forum Editor, Angioplasty.Org, August 3, 2011

• I am US citizen, now retired. Regarding problems with arteriograms; had one via armpits, both, immediate constant severe pain in both arms from shoulder to fingertips, over 3 years. Never before but since then, have severe skin cracking and swollen forefinger and thumb on right hand. Also had a heart cath which caused collapsed artery, had to have surgery. No skin or hand problems before. Been several years and still have problems. Have had main artery replaced down front and had no problems. That done in 1991. Nothing has worked to heal hand problems or on going hand/finger pain. Had arteriograms via groin before with no lasting problems. Wanted to pass this on since I know problem started with hands following morning after armpits arteriogram. Wish something could be done about problem?
CJ from USA, Missouri, USA, July 29, 2011

• Sarah from UK and Scaredandconfused in Virginia -- see Dr. Kumar's post from May 18 for some info. But you both are clearly experiencing complications from your radial angiogram. Have you gone back to the interventional cardiologist with your complaints. (A) He/she may be able to help relieve the problem; (B) it's important for that interventionist to hear feedback that there was a problem. Complications in the radial approach are much less common than with the femoral approach, but they do exist. Hopefully the pain will subside, but see your cardiologist (again, make sure it is the same one who did the procedure) and let the Forum know the outcome. Thanks.
Forum Editor, Angioplasty.Org, July 29, 2011

• ANSWER PLEASE I am like a lot of other people on this forum, I had a radial angiogram 6 days ago, with initial difficulty in accessing my artery and then a muscle spasm. I am a normally very fit and healthy 55 year old, only one week off work in the last 10 years. I have gone back to work yesterday and am suffering debilitating arm pain / aches that travel all down my arm and into my shoulder, that I can barely control with ibuprofen and acetaminophen in combination. Does this get better? There doesn't appear to be any answers in this forum to this question??
Sarah, United Kingdom, July 29, 2011

• I had a radial cardiac-cath performed about 2 weeks ago. There were no blockages found, and I didn't have any bruising or pain on my wrist after it was performed, but ever since I have had the procedure, I can only sleep on my back. If I sleep on my side or stomach, my arm goes numb from the shoulder all the way down to my fingertips. Sometimes the numbness is also in my chest right above my breast, leading all the way over to near my heart. Two days after the procedure I woke up at night and my body was hard jerking on the side I had the procedure done on, starting at the top of my arm all the way down my right side along the major vein line, then moving across to my left side. My stomach squeezed really tight. It was like I was having a seizure, but I was fully conscious and could speak fine. It went away on its own after about 20 minutes, but I never had anything like that happen in my life; it was very scary. My arm is also not as strong as it was; it feels weak off and on. I was told there weren't any complications to be expected after doing a radial procedure, especially if nothing was found and no stints were placed, but I have had these problems since.
Scaredandconfused, Hampton Roads, Virginia, USA, July 16, 2011

• I am an Interventional cardiologist from India and we have done about 2000 Radial angiograms in Smaller Built patients including Females .I Read the "Problems" reported by many patients ESPECIALLY FROM the UK after a " radial angio" - which seems Quite More than what we have experienced in our Hospital. Out of 2000 patients in our Hospital only 10 complained of such " severe " POST PROCEDURE ARM pain in our Experience and ALL OF THEM WERE FEMALES WITH NORMAL CORONARY ARTERIES !! I think in case of females with possible Normal coronaries and Coronary Spasm the Cardiologist should Warn the patient about POST PROCEDURE pain which may last for 1week.AntiSPASM DRUGS should help . Also I think Procedure Experience of the Doctor will prevent such severe ARM pain
DR R RAVI KUMAR, FORTIS MALAR HOSPITAL, CHENNAI, INDIA, May 18, 2011

• Cleveland Clinic Transradial Angiogram through left radial artery. Dx.~ MALS. Celiac artery compression upon breathing in/out blood flow w pics taken. Wasn't too bad compared to Femoral area entry I had in 2004 for electrophysiology, ablation. I was awake during this procedure at the C.C., w very little sedation, giving me the ability to watch, and ask questions to the team. I am bruised, and still sore.
Jan, Tucson, Arizona, USA, May 15, 2011

• Worried in U.K. -- The "bruising" was the result of an access site complication, relatively rare in the radial or wrist approach. We assume that resolved itself. As for the other symptoms you are having, they have nothing to do with the radial or femoral approach. Read over our topic, "Not Feeling Well After Stenting". If your symptoms have not resolved, definitely discuss this with the interventional cardiologist who did your stent. The idea is that stenting makes you feel better, not worse.
Forum Editor, Angioplasty.Org, May 9, 2011

• My fore arm was extremely bruised after my procedure for at least 2 weeks. Also felt "sore" across my chest. Had mine done in December 2010. Told that arteries are O.K. angina must be caused by artery spasm. Getting more tired and breathless by the week but being told everything is fine !! Any answers out there?
Worried in U.K, Manchester, United Kingdom, May 8, 2011

• Lisa from England -- Have you contacted your doctor about this, the cardiologist who performed the angiogram? He/she should (a) definitely be made aware of your problem, and (b) may be able to help you. Complications from the radial approach are very low in percentage, but they do occur. There are several possible causes, from radial artery occlusion (usually benign) to nerve or vascular complications due to prolonged compression, etc. Identifying the specific cause of your pain is important to moving forward on a treatment plan. Let the Forum know what you find out.
Forum Editor, Angioplasty.Org, April 9, 2011

• I had an angiogram 2 weeks ago through my right wrist. Initially the pain eased after 2 days or so. Now the pain is so bad, possibly worst ever had that I am unable to sleep, work is awful as even painkillers don't ease it. I'm so in pain have tried everything to relieve it. Arm is slightly swollen but not hot, pain from wrist to forearm is dreadful, pain and numbness in thumb and hand. HELP PLEASE!!!!!!
Lisa, Wombourne, England, April 9, 2011

• Jimmy from England -- Hard to think how the problem could have anything to do with the radial access, since it didn't show up for a couple weeks. Your pain may, however, have something to do with the stents. We'd suggest you contact the interventional cardiologist who did the procedure -- overlapping stents are more prone to restenosis. But if it's the radial access he/she should also be made aware of your situation. And please let us know the outcome. And "hand gone bad" from Omaha -- we're not clear about when your symptoms occurred. You say it's been 4 years since your radial procedure (was it an angiogram or angioplasty?) When did your symptoms start?? And have you discussed this with the interventional cardiologist who did the procedure??
Forum Editor, Angioplasty.Org, March 23, 2011

• I had two overlapping stents put into my arteries via radial approach, felt great for a couple of weeks, then the bloody pain started and God does it hurt, i am in so much pain, at first rehab thought it was a shoulder impingment, now i'm thinking something has gone wrong with the radial procedure, my thumb to my shoulder and neck are are in so much pain and its spreading to the left side, please help in anyway possibe...
jimmy, Salford, England., March 23, 2011

• i had a transradial approch in oct 2007 have had nothing but promblems since they say my blood supply was bad and now that i have nerve damage from this has anyone else had this promblem please let me know thanks pain in the hand swelling numores surgerys awww very wrong.
hand gone bad, Omaha, Nebraska, USA, March 10, 2011

• Rikki -- Your husband really should communicate with the interventional cardiologist (who is not technically a surgeon) who did the procedure. First, he/she may be able to help him. The radial approach, like any medical procedure, is not complication-free, but all the data and studies have shown that complications are significantly lower in percentage than going through the femoral artery in the groin. Certainly your husband's symptoms are not normal and should be addressed. Secondly, it is important for the person who did the radial procedure to know about any complications, and perhaps alter their approach accordingly. One of the big advantages of the radial approach is increased patient comfort, so an outcome like your husband's is certainly unwanted. We would advise discussing this with his cardiologist. Please let the Forum know of any new information and thanks for posting.
Forum Editor, Angioplasty.Org, March 5, 2011

• My husband had an angiogram/plasty four months ago, with the lead going through his right wrist. Since then he has not had a moment without pain. It is swollen and constantly in pain. He particularly can't move his wrist sideways. He hasn't gone back because he figures his options are X-rays, meds, or surgery. I consider it an abysmal failure, although the stent seems OK. I would make sure of the experience of your surgeon.
Rikki, Northeast US, USA, March 5, 2011

• I live in the UK and had a Femoral Angiogram 10 days ago. The only pain was the incision into the artery which lasted about 30 - 45 seconds. After that I had no sensation of anything taking place. The recovery procedure involved a FemStop device applying pressure for 2 hours (the pressure was reduced over this time) and me lying on my back for this period. After two hours I was able to sit up for a further hour. I was then helped out of bed and walked about/sat on a chair as I chose. After four and a half hours I was allowed to go home.

As my chest pain was becoming constant I elected to have private treatment for the angioplasty stent procedure. This meant that I had the procedure within seven days of the original Angiogram instead of waiting 4-6 weeks for the procedure in our National Health Service. This time the procedure was carried out through the radial artery in my right wrist. I felt absolutely nothing during the whole procedure and have had more trauma and pain visiting the dentist. A 3 centimetre by 3.5 millimetre stent was inserted at 1.30pm and I walked out of hospital with my wife at 7.00pm feeling very well with no pain and no wrist bleeding. A brilliant job!.
GeoffH, Warrington, Cheshire, United Kingdom, February 26, 2011

• D from Maryland -- glad to hear the radial procedure worked -- curious as to why it wasn't used the second time? Alsom just a technical point, Angio-Seal, or any vascular closure device, is not needed or used to stop the bleeding in a radial case. There are various plastic bands used, but they are just a way of maintaining light pressure, and only for a relatively short period of time. That's the beauty of the radial approach. Patients can stand up, walk around, etc. immediately after the procedure.
Forum Editor, Angioplasty.Org, February 4, 2011

• My 87y/o mom is in rehab now - had a femoral angio procedure WITHOUT a closure device and developed a pseudoaneurysm eight hours later and required emergency surgery followed by ICU. She later developed MRSA infection in the wound and required another surgery. She now has two or more months of therapy and wound care in front of her - The bill for the first surgery alone was over 16K - - A previous radial cath was done WITH the Angioseal - and no complications!
D, Maryland, USA, January 24, 2011

• All these posts so helpful - wrist is extremely painful, radiating to hand and arm, 2+ weeks after uneventful radial angioplasty (no blockage found) for which I am thankful. I was unsure about this pain (which can be severe if bumped or pressed) and it was reassuring to hear that is has been a site effect for others. Think I'll run it my doctor when I see him this week, just to mention it - sounds like no real fix. Thanks to all posters....was still worth finding out my heart problems are electrical/arrhythmia rather than blockage
Cheryl, Washington State, USA, January 15, 2011

• I had a radial angiogram performed in june 2010, it was extremely painful in fact I would say it was the most pain that I have ever had and I don't know why. I have a pulsating lump over my ulnar artery in my wrist and have pain and weakness in my right arm 7 months later.The sedative wiped all my memory out except the pain and I had problems with my memory for months afterwards. I was not told about the sedation or pain. Please ask for a full explanation if you are to have this procedure, if I had known I would never have had it done.
Yasasii, Cornwall, United Kingdom, January 12, 2011

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