Vascular Access Management in Complex Percutaneous Coronary Interventions.

Autor:	Kerrigan J; Ascension Saint Thomas Heart, Ascension Saint Thomas West Hospital, University of Tennessee Health Science Center Nashville, TN., Paul TK; Ascension Saint Thomas Heart, Ascension Saint Thomas West Hospital, University of Tennessee Health Science Center Nashville, TN., Patel J; Ascension Saint Thomas Heart, Ascension Saint Thomas Midtown Hospital, University of Tennessee Health Science Center Nashville, TN., Saad W; Ascension Saint Thomas Heart, Ascension Saint Thomas Rutherford Hospital, University of Tennessee Health Science Center Murfreesboro, TN., Morse A; Ascension Saint Thomas Heart, Ascension Saint Thomas West Hospital, University of Tennessee Health Science Center Nashville, TN., Haddad E; Ascension Saint Thomas Heart, Ascension Saint Thomas West Hospital, University of Tennessee Health Science Center Nashville, TN., Chandler A; Ascension Saint Thomas Heart, Ascension Saint Thomas West Hospital, University of Tennessee Health Science Center Nashville, TN., Emling J; Ascension Saint Thomas Heart, Ascension Saint Thomas West Hospital, University of Tennessee Health Science Center Nashville, TN., Lichaa H; Ascension Saint Thomas Heart, Ascension Saint Thomas Rutherford Hospital, University of Tennessee Health Science Center Murfreesboro, TN.
Jazyk:	angličtina
Zdroj:	US cardiology [US Cardiol] 2023 Oct 20; Vol. 17, pp. e16. Date of Electronic Publication: 2023 Oct 20 (Print Publication: 2023).
DOI:	10.15420/usc.2023.04
Abstrakt:	Vascular access is a crucial step, which every interventional cardiologist needs to be skilled with to consistently achieve excellent periprocedural outcomes. Some operators argue that it is the most important aspect of the entire intervention. Hence, careful planning of vascular access in an individualized fashion - based on the patient's clinical status, anatomy, and technical requirements of the intervention - is the first step in securing optimal procedural safety and successful results. We briefly review multiple aspects of vascular access and management including site selection, ultrasound guidance, micro-puncture techniques, sheathless techniques, limb perfusion, clinical monitoring, large bore closure, and management of complications. Approaching every vascular access in a systematic way, even in emergent situations, allows operators to minimize the risk of complications, especially in an often severely ill patient population. Competing Interests: Disclosure: JK has received consulting fees and honoraria from Abbott Vascular, Abiomed, Amgen, Asahi, Biotronik, Chiesi, Cordis, Heartflow, Ischemaview, Osprey Medical, Penumbra, Philips, and Teleflex. JP has received consulting fees and honoraria from Philips. EH has received honoraria from Teleflex and consulting fees from iSchemaView, is a co-founder of Eicosa Therapeutics, and has an unpaid role on the SCAI Ischemic Heart Disease Council. HL has received consulting fees and honoraria from Abbott Vascular, Abiomed, Cordis, Penumbra, and Philips, serves on an advisory board at Cordis, and is Chair of the Society of Vascular Medicine Practice task force committee and a member of the Society of Cardiovascular Angiography CME committee. All other authors have no conflicts of interest to declare. (Copyright © The Author(s), 2023. Published by Radcliffe Group Ltd.)
Databáze:	MEDLINE
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