Kneller - JIGC lifewave case report 2023

Phototherapy to Mitigate Complications of Left Heart Catheterization with Transradial Access (TRA)

Abstract

Transradial access is preferred for coronary angiography due to reduced complication risk. Procedural complications still occur, however, including nerve damage and regional pain syndrome. Guidelines for optimal treatment are lacking. This case involves a 74 year-old female referred for diagnostic coronary angiography using right radial access. At two-week follow up, she presented with moderate pain at the vascular access site and with moderate numbness and weakness in the right index finger, suggestive of radial nerve injury. Phototherapy using a set of cutaneous patches (IceWave® from LifeWave Inc) was used to relieve these complaints, leading to complete resolution of symptoms. These devices contain natural compounds that reflect back infrared frequencies emitted by the skin. Biologic activity include elevation of glycyl-l-histidyl-l-lysine (GHK), having a plethora of effects. This non-pharmacologic adjunctive therapy may be useful to mitigate the complications of coronary angiography.

Keywords:

Cardiac catheterization

Coronary angiography

Transradial access

Complications

Phototherapy

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