Radial access has lower risk of vascular complication for cardiac catheterization and is rapidly replacing femoral access. There are few unique complications associated with this approach. We present 3 cases of sterile granulomatous reaction associated with a specific hydrophilic radial sheath and possibly contribution by radial wrist band [TR band; Terumo Medical used for hemostasis after sheath removal (2101 cotton tail lane somerset NJ, USA)]. Awareness of this association will help clinicians use appropriate preventive measures.
RathoreSStablesRHPauriahM. Impact of length and hydrophilic coating of the introducer sheath on radial artery spasm during transradial coronary intervention: a randomized study. JACC Cardiovasc Interv. 2010;3(5):475–483.
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KozakMAdamsDRIoffredaMD. Sterile inflammation associated with transradial catheterization and hydrophilic sheaths. Cathet Cardiovasc Interv. 2003;59(2):207–213.
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BlascoAOteoJFFontanillaTSalamancaJOcaranzaRGoicoleaJ. Unusual complications of cardiac catheterization via the radial artery. Rev Esp Cardiol. 2005;58(10):1233–1235.
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ZellnerCPortsTAYeghiazariansYBoyleAJ. Sterile radial artery granuloma after transradial procedures: a unique and avoidablecomplication. Catheter Cardiovasc Interv. 2010;76(5):673–676.
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SaririanMPyneCT.Sterile granuloma formation following radial artery catheterization: too many Cooks?Catheter Cardiovasc Interv. 2010;76(6):907–908.
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ChristensenLHBreitingVBAastedAJørgensenAKebuladzeI. Long-term effects of polyacrylamide hydrogel on human breast tissue. Plast Reconstr Surg. 2003;111(6):1883–1890.
