Transient ulnar artery compression facilitates transradial access
| Autor: | Zhiming Zhou, Yonghe Guo, Bin Nie, Yujie Zhou, Zhen-xian Yan |
|---|---|
| Rok vydání: | 2016 |
| Předmět: |
Male
medicine.medical_specialty Cardiac Catheterization Radial artery puncture medicine.medical_treatment Punctures 030204 cardiovascular system & hematology law.invention Transradial catheterization 03 medical and health sciences Ulnar Artery 0302 clinical medicine Randomized controlled trial law medicine.artery Pressure Medicine Humans 030212 general & internal medicine Prospective Studies Radial artery coronary heart disease Prospective cohort study Ulnar artery Cardiac catheterization business.industry Standard treatment General Medicine Clinical Trial/Experimental Study Middle Aged Surgery ulnar artery compression Radial Artery Female business Research Article transradial catheterization |
| Zdroj: | Medicine |
| ISSN: | 1536-5964 |
| Popis: | Background: Unsuccessful radial artery puncture is one of the important causes of transradial procedure failure. Ulnar artery compression made the radial artery pulse stronger. Whether it would make transradial access easier, however, is uncertain. Methods: A prospective randomized controlled trial was conducted among 446 patients who planned for transradial cardiac catheterization. Patients were randomized to receiving either transient ulnar artery compression (UC) or standard treatment (standard) for half an hour prior to needle insertion (217 UC, 229 standard). The diameters of right radial artery and ulnar artery were measured by ultrasound on admission and before artery puncture. Primary endpoints included the number of attempts to access, the rate of first-pass success, and time for a successful access. Secondary endpoints were the number of difficult procedures, and the incidence of puncture failure. Results: The diameters of radial artery were larger after half an hour's ulnar artery compression, but there were no obvious changes in that of ulnar artery. As compared with standard group, the number of attempts was significantly decreased (1.42 ± 1.10 vs 2.97 ± 2.38, P |
| Databáze: | OpenAIRE |
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