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Transradial (Wrist) Approach to Angiograms or Angioplasty
(Archive: 2010 and Earlier)

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What was your experience if you had an angiogram or angioplasty where the forearm/wrist was used for catheter access?

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Archived Postings on This Page from 2010 and Earlier (73):

• I had an angiogram thru the Radial artery in my right arm. It was very painful as my artery had a spasm. It continued to hurt for 6 days and nights and I lost a lot of sleep. When I returned for my follow-up appointment, the cardiologist advised me my Radial artery had completely collapsed, the reason for the pain, and was no longer functioning, that the brachial and ulna arteries were compensating for the Radial. It has been over three weeks now and there is still some discomfort in the arm. Has this happened to anyone else?
Kathy, Retired, Harrah, Oklahoma, USA, December 28, 2010

• I just had an Angiogram in my right arm and the artery had a spasm. It has been 6 days now and I am hurting from the shoulder all the way down to my fingers. I can't sleep and pain killers only work for a while. How long is this going to last? I am having a hard time with this.
Kathy, Retired, Harrah, Oklahoma, USA, December 14, 2010

• Wanted to let you know that to my surprise the day of the heart cath the doctor did indeed do radial! So my recovery was quick and the only discomfort I had was a little soreness in my right forearm. After the fourth day it was fine. I cannot thank you all enough for getting the word out about this.
Tammy, Arizona, USA, December 9, 2010

• I had an angiogram through the right wrist, the whole experience was traumatic and I am still recovering from the trauma....the cardiologist had problems getting in as the artery kept going into took about 45 mins to do the angio, and I kept having gtn spray and sedatives throughout to ease the pain and discomfort...3 days later and I am still having discomfort in my arm, like a dull ache..I was never told to expect this so was rather worried. After reading experiences on here it sounds quite normal so I am not as worried now....glad to say my arteries were also clear. I would never want to have another angio as long as I live.
Sharon, Sheffield, England, November 27, 2010

• Tammy -- Glad our web site is helping spread the word. Every radial cardiologist we've spoken with discusses the fact that patients who have had the procedure via the groin/leg artery and subsequently had it done through the wrist/radial approach would never go back. The procedure is spreading in the U.S. We just attended the "Radial Summit" in Boston to an overflow crowd. The approach your cardiologists are discussing sounds like the "brachial" approach (pronounced "brake-eel") through the brachial artery in the elbow. This is not the same as the radial approach. As with all procedures, the skill and experience of the operator is a big factor, and one can find arguments for and against each approach. We see that you are writing from Arizona. If you use our Radial Hospital Locator, you will see hospitals that practice the radial approach. You can also read our interview with Dr. Mehrdad Saririan who is located in Phoenix. Perhaps this may be of some assistance. Please let The Forum know how things turn out.
Angioplasty.Org Staff, Angioplasty.Org, November 10, 2010

• I first heard about Radial Access here right after I had nerve damage from a heart cath in 2008. I am having another cath on friday. I have requested the radial access and the best I was offered by two different Cardiologists was through my upper right arm. I am wondering if you could let me know more about this entry point. Thank you.
Tammy, Arizona, USA, November 10, 2010

• I had my angiogram done through the wrist two weeks ago and had no trouble but some pain in the thumb to the wrist. Yesterday my wrist was hurting hurting up to my under arm (not bad just some throbbing) and the surrounding area has got hard and swollen. Is this some thing I should be concerned about, or should I be just taking it easier?
Kath, British Columbia, Canada, October 27, 2010

• Just adding to my previous post. It has been over 1 week now and still no problems. The black and blue mark has all but faded away now. For me this procedure worked really well.
TLynn, Arkansas, USA, October 23, 2010

• I had the right radial angiogram on October 14th 2010. I had no complications and it was almost painless. My only mark besides the needle entry is the black and blue mark that has appeared days later. My recovery time was a lot less than my husband who had a femoral done 3 years ago. It went well for me.
TLynn, Arkansas, USA, October 18, 2010

• Just would like all to read my post from August 3 about the nature of Forums like this one, and how patients who post are more likely to be those having a problem, although there a quite a few posts in this topic from "satisfied customers" as well. One the whole, the percentage of complications are much lower with the radial approach than with the femoral. And bleeding complications, which can be quite serious, are virtually non-existent with the wrist site. But no procedure is perfect -- and if things are not right, definitely call the cardiologist who did the procedure -- it's important that he/she be made aware of every complication they've been involved with -- it will make them better cardiologists. Too often, the patient leaves the cath lab and, when there's a problem, it's the G.P. who deals with it, and the cardiologist never hears about it. I would also ask all those who experienced discomfort afterwards, and who have posted their story to this topic, to please update us all on whether or not the problem got resolved, how long it took, etc. This would be of great help to others. Thanks to all!!
Angioplasty.Org Staff, Angioplasty.Org, October 18, 2010

• I had a angiogram done on 10/04/10. Dr attempted right radial and artery spasmed. Exited arm and went in groin after all. 4 days after procedure experiencing incredible pain in right wrist and forearm. 800 mg ibuprofen doesn't even stop pain. Cardiologist changed BP meds to help stop spasming, 3 days later still spasming.
Radial Drama, Temecula, California, USA, October 11, 2010

• I've just had a coronary angiogram procedure done. There were no blockages but rather a cholesterol count of 8. I have been experiencing excruciating pain starting in my left shoulder down to my ring finger. I noticed last night that my right hand is also starting to ache. Is this normal after this kind of procedure? I am reluctant to contact my GP for fear of sounding petty.
Sarah, Cape Town, South Africa, October 4, 2010

• I made a previous entry on the 4th of October 2009 (in the Forum Topic "Cost of Stent and Angioplasty") that being I had 2x Promus drug eluting stents put in, one in the mid LAD and one in the Circumflex artery via right radial access. The procedure was done at Wakefield Hospital in New Zealand and cost $21,000 New Zealand Dollars. At the time I experienced absolutely no pain or any side effects what so ever and I could not believe how successful the procedure was. Nearly a year has passed since the procedure and to date I have not experienced any form of pain or any form of side effect what so ever. The procedure has been absolutely fantastic.
Grant Dwyer, Lower Hutt, New Zealand, September 7, 2010

• Bob -- if you read over the articles and news stories in our Radial Access Center, you'll see that more and more studies have shown the wrist access may be safer than the groin (mainly regarding bleeding complications). There is no difference in the outcomes, but for the patient, he can sit up and walk immediately after the procedure, etc. One of the oddities of having a Forum such as this is that, it becomes a "complaint department" -- which is important so that problems can be surfaced -- but any balance becomes non-existent and you only see posting from patients who have had problems. If you go over to the femoral approach topics, you'll see over 1,000 posts, mostly of complications. Again, in all the randomized and observational studies done comparing femoral to radial, the radial approach has shown significantly lower complications. Of course, the patient must be selected correctly -- a certain percentage of patients are not ideal for this approach. You should ask your father's cardiologists to explain these issues in his case in particular, but read over our articles and interviews first.
Angioplasty.Org Staff, Angioplasty.Org, August 3, 2010

• My dad is about to undergo a 2nd angiogram due to a mild heart attack. He also had a mild heart attack some 5 years ago for which he had an angiogram and a stent inserted. This time they want to go in though his arm and not his groin (different hospital). Any reason why, and what is the difference? He had no complications through the groin last time. Judging by the posts, it appears that there are more complications with the arm catheter.
Bob, Johannesburg, South Africa, August 2, 2010

• Gormo from the UK -- sounds like some type of anatomical obstruction. Did they try the left radial? Recent studies have shown equal efficacy from left radial, even though it is less often used.
Angioplasty.Org Staff, Angioplasty.Org, June 30, 2010

• hi I've just had a right radial angio, I've got scar damage to both groins due to the amount of angios performed. Could somebody explain why after inserting the catheter into the right artery it seems to only able to travel between 5 and 7 inches then can't go any further i have a good pulse on the right radial and nobody seems to know what's going on i can't continue with the bypass surgery until a new angiogram can be performed . Could you offer any advice?
gormo, United Kingdom, June 27, 2010

• I've had this procedure done in my wrist 4 days ago, luckily everything is fine, but I am getting excruciating pain in my thumb,palm & forearm to the point that I'm only sleeping for a couple of hours at a time. Please can anyone tell me why this is & if it will go?
C Sharp, Luton, United Kingdom, June 10, 2010

• I had a transradial angiography 3 days ago at the Feiring Klinikken near Oslo. All I felt was a strong pressing into my wrist like with a thumb, then a few moments later a fluttering sensation in my heart. I was on & off' the table within about 20 minutes with the good news that my heart is OK. The needle puncture at my wrist is no bigger than a gnats head. I had no bleeding or pain and only minimal bruising. After some of the horror stories I read about this procedure the experience was much easier and better than I could ever have hoped for, and I was heading home (alone) on a 7 hour train journey within 5 hours. I feel sad that many people seem to be having very bad experiences with this procedure and wonder why this is?
Flora H., Hordaland, Norway, June 7, 2010

• I had an angiogram two weeks back.The catheter was inserted thru right arm. Two days later I developed severe pain in my arm and I was not able to lift my hand, doctor gave me a pain killer for three days and advised to use ice pack and I was OK after three days. However after 8 days again the pain has appeared starting thumb to back of the shoulder.Can you suggest me a remedy?
Bala, Chennai, India, May 23, 2010

• The angiogram I had on 30/4/10 was both painful and frightening as no one seemed to respond to me. The pre-op notes said it would be painless! It wasn't. I was told I could have a relaxant but in theatre no one offered it to me, until it was well on in the procedure. The doctor came in saying he was going to catch up on the morning's list. Afterwards the basic care was OK but no one asked if I was ok or discussed the problems I'd had. My GP will write to them when he gets the results. I could not use my hand for 2 weeks and still have trouble. I have just stopped using max dose pain relief, dihyracodomol and ibuprofen If I had been given the choice I would have opted for the groin entry point as I use my right hand in my work. Afterwards I felt beaten up both physically and emotionally. I still get angry. I try to think how grateful I should be, that all is well, others are far worse off, etc. etc. but nothing helps at present.
Lynne, East Anglia, United Kingdom, May 23, 2010

• I had an Angio done 9 days ago during the procedure I was in immense pain. They stopped procedure after 7 minutes fortunately no blocked arteries I felt everything and was given Antrpin I think it's called. But following the procedure I have had constant pain in my arm from the wrist to the fore arm. They say it should go within 2 weeks I hope they're right.
Mary in East End of London, , England, April 29, 2010

• my husband had a angioplasty procedure through his wrist followed by a stent being fitted on the 13/04/2010. Though he is feeling much better in a lot of ways he still not hardly getting any sleep due to pain in his arm.He has dull ache pain in his forearm that is not letting him get any sleep. He was told he could take paracetamals but these are not helping. If any one else has had this problem can you please tell us what else he can take to relieve this pain
Sue Tompkins, Ilkeston, Derbyshire, United Kingdom, April 25, 2010

• Thanks for your response. In my case, since the pain was so excruciating before we can even proceed with the angiogram, we decided not to go ahead with it. But even after they took out the needle, the pain still existed for a few hours. My right arm became normal the next day.
Ruth, Kowloon, Hong Kong, April 20, 2010

• Well, it's a little more than two weeks after the procedure, and for the most part, I am fine. Both the area of the procedure and the area where the IUV was drawn are still yellowish and tender, but I would say that I have 80-85% of the flexibility and strength in my right hand/wrist/arm that I had before the angiogram. I have a slight discomfort in the back of my upper arm, but that may well be due to arthritis as to the procedure. An equally slight discomfort in my wrist when I bend it fully toward me. But obviously, I am much better than I was. May I assume that the area of needle penetration will forever be scarred?
GregM, Franklin Square, New York, USA, April 17, 2010

• Greg M (and Ruth) -- sometimes because the radial (wrist) artery is relatively narrow, the catheter manipulation can cause the artery to go into spasm. Cardiologists use a variety of drug "cocktails" to prevent or minimize this -- it is one of the differences between radial and femoral access -- sometimes there is residual pain in the wrist or arm. But not often. Let us know how long it took after the procedure for your arm to return to normal.
Angioplasty.Org Staff, Angioplasty.Org, April 14, 2010

• Had a wrist angiogram yesterday. There was some discomfort initially, as it took 4 times for the needle to penetrate the artery. After that, though, pretty smooth sailing, done in less than 15 minutes. Happily, no blockages, and I was out of the hospital in 2 hours. I actually responded well to the warmth of the dye in the heart. Wrist was partially numb for about 10 hours after the procedure, and felt a little cold to the touch. It is currently a little sore 32 hours after the procedure, but no longer numb or cold. I don't want to do much more than type with the hand that underwent the procedure (right). I was told that in two or three more days, the hand should be close to back to normal.
Greg M, Long Island, New York, USA, April 2, 2010

• Question I have a Coronary Angiography done today as my cardiologist wanted to find out what is the cause of my chest pain. When the needle was being inserted into the middle of my right arm and they injected the steroid cover (as I am allergic to penicillin and seafood), I started to feel excruciating pain, unbearable soreness and numbness of my entire right arm up to my right hand. The pain, soreness and numbness worsened and became so unbearable that they have to take out the needle (after about 20 minutes since it was inserted) . In the end, we have decided to cancel the angiography altogether as this was only performed in a private clinic (instead of a hospital) just in case. Even after they took out the needle, I still experienced the pain, soreness and numbness for a few hours and my right hand was much darker/redder than my left hand, even though my right arm did not show any sign of bruises. So my question is what could be the cause of this?
Ruth, Kowloon, Hong Kong, March 26, 2010

• Janet -- sorry to hear of the bad experience -- we hope that the complications have resolved. It's one of the conundrums of emergency interventional cardiology that the patient is spared the extensive heart damage that would have resulted from the heart attack before angioplasty was invented, but that occasionally (and rarely in the wrist approach) the access site complication is what the patient is left experiencing -- minor, compared to the heart attack, but not minor if it's your arm (or more commonly, your leg). Curious why you "can't" ask your doc what happened?? Also, we would guess that what you saw "come out" of the catheter was probably the deflated balloon or the thrombectomy device. Such a bleeding complication in a radial procedure is very rare.
Angioplasty.Org Staff, Angioplasty.Org, January 5, 2010

• Had emergency angioplasty for MI, found 100% blockage of left circumflex artery. Artery opened with thrombectomy, stent applied -- immediate relief of all heart attack pain (including pain in my teeth that I had assumed was dental issues for the last month!) Felt radial artery in wrist cut (mild pain), nothing else too bad--except when the catheter was removed--experienced excruciating pain. Thought I saw something come out--balloon not deflated? So grateful for surgery but curious for an explanation of what happened at the end. Had internal bleeding in arm--required two pressure clips--bruised 16 shades of purple from wrist to elbow on both sides of arm. Hear everyone else say minimal pain--I had my back arched and was stomping the table with my feet,it was so bad--was the balloon not fully closed--did i need more freezing--can't ask doc--any ideas?
Janet, Ontario, Canada, December 27, 2009

• Michael -- if you are concerned, you should call the hospital. It's likely that the follow up slipped by. But the fact that you're fine is great. St. Vincent's is one of the foremost centers in the U.S. practicing wrist access -- Dr. John Coppola (read his interview) is one of the experts in this field and has trained many of the radial cardiologists throughout the country. No pun intended, but you were in very good hands!
Angioplasty.Org Staff, Angioplasty.Org, December 15, 2009

• I had a right radial (wrist) angiogram two days ago (12/2/09), which went very smoothly. I was on my way home within three hours and have felt very little discomfort. And no blockage was found, so I am very lucky. I was told the hospital (St. Vincent's, NY, NY) would be calling me the next day to see how I was doing, but I've received no phone call. My only worry is that the doctors were supposed to be checking out my LAD but they went through the right wrist. Does this matter, or I am being hopelessly neurotic?
Michael Jacobs, New York, USA, December 4, 2009

• i had diagnostic angiography radial approach 1 week ago. i currently experience "funny bone-like" sensation and pain from the wrist up to the inner part of my arm pit. anyone else experience this?
Gail Bhatti, Toronto, Ontario, Canada, October 23, 2009

• I've just undergone a radial angiogram last Monday 6th October 2009 that revealed no problems or need for treatment. My wrist was fine for 4 days until I started being active again. I am now in a lot of pain and medication doesn't seem to be helping. I would like to know if anyone out there has had similar problems, if so, has it resolved and what treatment was given? I'm back at work and finding it difficult to cope with the constant 'toothache' type pain that runs from wrist into fingers especially thumb up to shoulder girdle. Thanks
Jan R., Herefordshire, England, October 12, 2009

• I had 2x Promus drug eluting stents put in 3 weeks ago, one in the mid LAD and one in the Circumflex artery via right radial access. Done at Wakefield Hospital in New Zealand cost $21,000 New Zealand Dollars. Fantastic procedure no problems to date and noticed a huge improvement immediately following the procedure.
DWY, Aukland, New Zealand, October 4, 2009

• Thank you for your reply. I have a follow-up appt. 7/20 and will report the reaction post angio.
Bonnie, Klamath Falls, Oregon, USA, July 19, 2009

• Jennifer -- chances of bleeding complications when the radial (wrist) approach is used is very small, as indicated by the news articles and interviews in our Radial Access Center. As for collapsing stents, we've just started a new forumtopic on that subject. Are you sure the physician didn't mean that the stents got blocked? Let us know how things progress.

And Bonnie -- we're glad to hear your radial angiogram went well and was painless -- but regarding your migraine, it is possible you had this reaction to the specific sedation used. We'd suggest reporting this to your doctor so, should you ever need conscious sedation in the future, a different drug can be used.
Angioplasty.Org Staff, Angioplasty.Org, July 18, 2009

• My dad had the traditional angioplasty through the artery in the leg, two stents (medicated) were inserted into blockages. My father is on Coumadin and several other medications for heart disease. Discharge was 2 days after the procedure. 6 days post op my father was rushed back to ER with a hematoma in the leg at the insertion site. Healing went well, was feeling better day by day and then suddenly not feeling well again. All symptoms returned and surgeon feels that stents collapsed. Now he is back in as we speak having the procedure through the wrist - What are his chances of having that type of bleed in the wrist? Are there different types of stents that will be less likely to collapse? I don't think he can go through this much more. Thank You
Jennifer McArdle, Chesterfield, Virginia, USA, July 17, 2009

• I had radial angiogram 6/29/09 (yesterday). I had a little fentenyl/demerol (for cons. sedation) and a local before insertion. Great! I was relaxed and no pain. Discharged 2 hrs. later with pressure dressing and splint. All fine until the drive home (3hrs.) when I started getting a headache and couldn't keep my eyes open because of the pain and sunlight. I took some ibuprofen but by the time we got home it was like a REALLY BAD migraine where you have to go to bed in a dark room with a cold washrag. Has anyone else had this side effect? This morning it's better but the headache is still hanging out there. Any thoughts why this would happen?
Bonnie, Klamath Falls, Oregon, USA, June 30, 2009

• After my initial Angiogram performed via the femoral artery my right thigh from my groin to my knee was completely bruised and black all around. It took months before that went away. I later had two stents fitted via the same access site and had no bruising although I had to endure a very, very painful procedure after the sheath was removed. This involved a nurse manually pressing hard at the wound for what seemed an eternity in order to stop the bleeding. Apparently the clamping contraption normally used to apply the required pressure was not available. Three years later the angina returned and so I had another angiogram, this time via the right radial artery. The pain of the initial needle into the wrist was quite uncomfortable but after that just pushing feelings and the usual weird sensations as the tube thingie winds its way around your heart area. It was nice to be up and about quickly and no bleeding problems but, the pain in my arm after the freeezing wore off was bad. I could not sleep very well for weeks, I just did not know where to put my arm. The pain was not from the wound area but up the forearm right up to the bicep area, it took several weeks to go away. My angina is now worse again, I fear In-Stent Restenosis has reared its ugly head. This time I can choose, Femoral or Radial, to be honest I just don't know which. The less painful Femoral with its risk of bleeding/bruising, or the faster mobility and bruise free Radial with the attendant post procedural pain! D'oh!
Ken Walker, Derbyshire, United Kingdom, June 15, 2009

• just had two stents done yesterday at 9.00am in the morning done by Transradial (Wrist) Approach - (kissing stents in my LAD) . I have already a drug eluting stent in my LAD 7 months ago and a follow up angiogram done by the standard groin method with closure device. I found the Radial approach far more comfortable after operation but more painful at start when inserting the sheath to begin with. If i was to have a choice next time i would still choose radial simply for being able to get up straight away and it's far easier to rest your arm than your whole leg!. at 4.00pm and two stents later i was back at home and all is well.
Andy, United Kingdom, May 28, 2009

• I had a 'look-see' transradial angiogram in mid-Feb and have since then been experiencing quite severe pain (without significant swelling or redness) in my right hand (especially thumb) only on using my hand (even for normal daily activities like combing my hair). The radial pulse is slightly weaker on the right, but there is no numbness, and my fingers are not blue! The pain only comes on with use, but my concern is that it is debilitating and seems to be getting worse rather than better despite pain relief 2 months down the line. Can anyone advise if it will resolve and how long this might take. I am understandably reluctant to have any further procedures.
John, London, United Kingdom, April 10, 2009

• Thank you so much for the quick response. We will bring this information to his interventional cardiologist when we see him (today, actually). Thanks again,
Cindy, Connecticut, USA, April 2, 2009

• Cindy -- Your question is a complicated one. There was a recent trial presented in the fall called Horizons-AMI which compared two methods of antiplatelet/anticoagulant therapy during angioplasty in heart attacks. A drug called bivalirudin was compared against unfractionated heparin (UFH) plus a glycoprotein IIb/IIIa inhibitor (which Integrilin is) and bivalirudin resulted in significantly less bleeding than the combo. But these types of decisions are decisions that must be made by your cardiologist, interventional cardiologist specifically, because he/she has the specific information about your father's clinical condition and the options. So this is NOT medical advice, just a reference to the results of a well-publicized trial. As for the balloon pump, there are new alternatives, such as the TandemHeart device and the Impella, but they are not, to our knowledge, able to be used via the radial artery. Again, your interventional cardiologist should be able to discuss the alternatives with you. A further note: the radial approach is associated with virtually no bleeding complications from the access site (the wrist artery) which is very important especially when strong anticoagulants are being used, as in your father's case. His bleeding complications have nothing to do with the access site, but with an internal reaction to the drug.
Angioplasty.Org Staff, Angioplasty.Org, April 1, 2009

• My father recently had an angioplasty done through the radial artery. He had a SEVERE reaction to Integrilin which dropped his platelets to 10,000 and cause severe internal bleeding. He was in ICU for over a week on a vent and nearly died. He is a repeat angioplasty patient, and will more than likely require another in the future. Is there an alternative to the Integrilin that will not cause the same adverse reaction? Also, can an aortic balloon pump be inserted anywhere other than the femoral arteries? Both of his are blocked. Thanks.
Cindy, Connecticut, USA, April 1, 2009

• Denise -- without more specifics it's hard to say what the hospital means, but basically the problem with chronic total occlusions (CTO) is that it is very hard to cross the blockage, because the contrast dye gets blocked and the cardiologist has to "guess" where the channel that he wants to open up is. By using two catheters, with simultaneous dye injections in both the left and right coronary arteries, the cardiologist can visualize both ends of the blockage, and have a much better change of crossing. Sometimes a radial and a femoral access are used, sometimes both femoral, sometimes both radial.
Angioplasty.Org Staff, Angioplasty.Org, March 19, 2009

• i had angiogram recently and was told that i have chronic occlusion to right artery and have had a heart attack. Letter received from hospital saying that i am good candidate for bilateral radial approach chronic occlusion to my right artery. what does this mean and what treatment will i be having.
Denise, London, England, March 14, 2009

• Edward -- glad everything worked out -- and the ease of your procedure is a good example of how the radial approach (through the wrist) can be beneficial for older patients. As for the Plavix, check out our topic on Plavix After Stents, but the short answer is that guidelines post-stenting call for aspirin for life, and Plavix for 4-6 weeks if you got a bare metal stent and 6-12 months if yours was a drug-eluting or coated stent. Some cardiologists keep their patients on Plavix for longer.
Angioplasty.Org Staff, Angioplasty.Org, March 13, 2009

• Hi. Two days before my 81st birthday I had a heart attack, I had no symptoms before the attack. In the ops room I watched the wrist op with no discomfort. Have been on 81mg aspirin and 75mg Plavix no problems! Now I have been told to use up my Plavix and stop using it. I also take 80mg Lipitor. any suggestions?
Edward Hall, British Columbia, Canada, March 11, 2009

• I have had two angiograms via the radial artery,the first was in my right arm,this left me without a pulse so the second angiogram was done in my left arm,this left me with a very tender radial artery for 4 months and I have now developed phlebitis in the same artery. I am not impressed.
Mike, Wales, United Kingdom, February 28, 2009

• I had an angiogram through my wrist 2 weeks ago about 4 days later I began to have a dull ache in the area of insertion to about a quarter a way up my arm it is painful when I press on that area of my wrist.
Terrier, Buffalo, New York, USA, February 13, 2009

• I just arrived home (12/06/08) from having two plain stainless steel stents put in thru my right wrist at UCONN Medical Center in Farmington, Connecticut. I feel like a million bucks just a little tender at the point if entry and I'm sure that will pass.
L.T., Connecticut, USA, December 6, 2008

• G in Arizona -- you might also want to check out our just-posted interview with Dr. Mehrdad Saririan of Maricopa Medical Center in Phoenix.
Angioplasty.Org Staff, Angioplasty.Org, November 22, 2008

UPDATE from April 7, 2008 This is to confirm that yes, indeed Radial Access is available at Banner Good Samaritan Medical Center in Phoenix, Arizona. I was told that they do have some doctors that perform Radial Access. I was able to get the phone numbers of three different Cardiologist offices directly from the Cardiology Department Cath Lab. I apologize for the delay in letting you know but my condition that brought me to this site has not improved.
G, Arizona, USA, November 22, 2008

• Cecelia -- some soreness is to be expected with either the wrist or the leg approach. This should go away in a few days. Let us know how he is doing.
Angioplasty.Org Staff, Angioplasty.Org, October 30, 2008

• My husband at 33 has had a heart attack which has left a portion of his heart permanently damaged with 2 stents placed in the LAD via femoral artery. After another angiogram follow-up in July to assess chest discomfort we went in to have a trans-radial angioplasty. Recovery and discharge time was cut in half and quick. However he is experiencing some minor discomfort in his arm from the entry point to the middle of the bicep. Just wondering if this is part of the healing process or if it is something to worry about.
Cecelia W., Massachusetts, USA, October 26, 2008

• Hi, i had an angioplasty in feb 2008 , i had one stent put in and i found this fantastic treatment , however, i have had issues at the entry site ie wrist, every 2 months since the op ,the site has swollen to a golf ball size lump!! This has now happened 4 times , each time meant another trip back to the hospital to get it drained, and still the docs have no idea!! How about you guys ????
Chris Goodwin, Manchester, United Kingdom, October 25, 2008

• The vascular surgeon has "washed his hands of him"? Not sure what you mean. That doesn't sound ethical. It's true that in a percentage of cases, the radial artery becomes occluded, but this is considered benign, since it is normally not even noticed by the patient -- this is also why, before the radial approach is attempted, dual arterial flow in the arm is confirmed.
Angioplasty.Org Staff, Angioplasty.Org, July 31, 2009

• My partner had this procedure and now has a totally blocked radial artery; the vascular surgeon has now washed his hands of him. What can be done as he is in severe pain ??
Coral, London, England, July 29, 2008

• i had an angiogram last Tuesday through my wrist and although i felt it to be easier than through my groin i have been having terrible problems with my arm and my GP believes i have an infection for which i need to take strong antibiotics. i have some swelling in both the arm and hand, my arm has been going very hot and very cold and then i get tingly pins and needles type feeling. i thought i would be going back to work this week but it's just not possible. Everyone i have spoken to has had no problem at all am i just one of the unlucky ones or has anyone else experienced similar problems?
Liz, United Kingdom, July 27, 2008

• Since on Coumadin they decided to go thru my wrist for my latest angiogram. Piece of cake -easier than going to the Dentist. No stent required and all previous ones (2005) open and working fine. Out the the hospital within 3 hours post procedure.
Rick, New York, USA, June 26, 2008

• Requested this procedure in 1999 prior to CABG to avoid having to lay on my back for 6 hours--post angiogram experience much better than femoral artery site.
Jim Lohman, retired, San Antonio, Texas, USA, May 4, 2008

• I had 2 drug-eluting stents inserted via my right wrist in Nov 08,at the Freeman Hospital I walked down for the procedure,climbed up on the bed,lay down & watched as it (I wouldn't call it an operation) was carried out, for me it was a "Walk in the park" after about an hour & a half of very interesting viewing, "I asked for and received 2 before & after pictures" I got up & was taken back to the main ward, the splint on my wrist was rather uncomfortable if I moved my arm certain ways "So I didn't" as I have said for me it was "a Walk in the park".
John Gibson, Gateshead, England, May 2, 2008

• I.H. -- thanks for the query. We recently started a list of hospitals that practice transradial in our Hospital Locator. There is no listing for a DC-based hospital, but we'll do some further research into that. There are a couple listings in Virginia, and also Maryland (e.g., Johns Hopkins). We'll update you on any new information.
Angioplasty.Org Staff, Angioplasty.Org, April 17, 2008

• Transradial approach for angioplasty - I would like to find doctors that are skilled in this procedure. I live in the Washington DC area but would be willing travel.
I.H., Washington, DC, USA, April 16, 2008

• G from Arizona -- visit our Radial Access Center where you will find our new "Radial Hospital Locator". We see that Good Samaritan Regional Medical Center in Phoenix is listed. Our listing is not an endorsement of a particular hospital, only that they have a radial program. And there may well be other centers in the Phoenix area. Best thing to do is call the cardiology departments and ask. And let the Forum know what you find out.
Angioplasty.Org Staff, Angioplasty.Org, April 7, 2008

• Do you have a list of Interventional Cardiologists in the Phoenix, Arizona area that do Radial Angioplasty. I do not know how to line up a doctor with this experience. I would like to have a patient relationship with this doctor in advance in the event I may need a stent in the future. Thank you in advance.
G, Arizona, USA, April 7, 2008

• I have had 4 angiograms performed, one for a heart attack and had to have my LAD opened, this was done through the femoral artery, had bruising and slight fever, but recovered well. Three yrs later had angiogram through the radial artery for a suspicious stress test, appreciated not having to lay flat for so long and being able to go home, but had a terrible fever 102 which passed after approximately 36 hrs. Another angiogram and angioplasty performed via radial artery in 2003 stent inserted to mid circumflex, again a terrible fever, but recovered in two days. 2007 again angioplasty performed three stents inserted one regular one to mid circumflex, 2 drug eluting ones to right main artery, took 2 hrs pain, swelling, high fever, to which every time I was told delayed reaction to the dye, of course I now know that is a lie, reaction would be immediate. Huge pus pocket formed nerve in my wrist is damaged I have numbness and pain and loss of strength in the ability to use my wrist and my artery has closed down half way down my arm, good thing we have two arteries in our arms. I would strongly suggest to anyone if you are not having a heart attack, to make sure you have a second opinion or that the people you are dealing with listen when you say something hurts you. which I repeatedly did, only to be told later that I didn't mention this or that.
Donna, Flushing, new York, USA, December 27, 2007

• Found the whole procedure just fantastic. The only downside I have up to now is that subsequent to the angiogram I have a coldness or tingling in my right upper bicep/leg. I have been told that this will go with time.
Andy P., Sligo Ireland, November 23, 2007

• I has a single stent inserted in August 07 via my wrist. There was no problem with this, and it has healed well. Like others , all i could feel was a pushing sensation but no pain. The only thing that hurt was the injection of local anesthetic!!!
Kim Mitchell, Northamptonshire UK, October 8, 2007

• My mother had 3 stents done this way at Mayo Clinic in 2002. She was 89 at the time. She had no issues/problems with the procedure. She is now 94 and will be undergoing the same procedure again.
Mary S., Illinois, USA, August 19, 2007

• I underwent an angioplasty procedure at the wrist on 14th Aug 07 and had four stents fitted (two being of the drug coated type). There was no pain at all and only very minor discomfort as the catheter was inserted, a slight pushing feeling in the arm. The sensation when the dye was inserted was not particularly uncomfortable and felt like a "burst" of warmth. The procedure took about two hours. There was no discomfort on removing the catheter. My right forearm felt heavy for half an hour and the sealing dressing was removed after about 12 hours. Only very slight discomfort at the entry site. More pain at the dentist having a filling.
Bob C., England, August 15, 2007

• I had 2 drug-eluting stents to LAD 21st august 2006 (see my post nov 23rd 2006 in "not feeling well after angioplasty") via the radial approach. Although the cardiologist was a specialist in the radial approach, I found that the initial insertion was quite painful. But after that it was almost painless -- just a bit of discomfort during the rest of the procedure.The big plus point was that I could get up and walk around without having to worry about bleeding or damaging the wound almost immediately after the procedure. I would opt to have the radial rather than the femoral every time (i've had both) if I had the choice. I have only one small complaint -- I no longer have a pulse in my right wrist but I think i can live with that!
Mike, Wales, UK, August 15, 2007

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