Real-Time Ultrasound Guidance Facilitates Transradial Access
| Autor: | Jonathan S. Roberts, Mazen Abu-Fadel, Steven Czak, Morton J. Kern, Aditya Mangla, Pranav M. Patel, Jaffar A. Raza, Arnold H. Seto, Faisal Latif, Zoran Lasic, Georgia Panagopoulos, Suresh Jain |
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| Rok vydání: | 2015 |
| Předmět: |
medicine.medical_specialty
medicine.diagnostic_test business.industry medicine.medical_treatment Ultrasound Palpation Surgery law.invention Transradial catheterization Randomized controlled trial law medicine.artery Angiography Conventional PCI medicine Radiology Radial artery business Cardiology and Cardiovascular Medicine Cardiac catheterization |
| Zdroj: | JACC: Cardiovascular Interventions. 8(2):283-291 |
| ISSN: | 1936-8798 |
| DOI: | 10.1016/j.jcin.2014.05.036 |
| Popis: | Objectives This study sought to assess the utility of ultrasound (US) guidance for transradial arterial access. Background US guidance has been demonstrated to facilitate vascular access, but has not been tested in a multicenter randomized fashion for transradial cardiac catheterization. Methods We conducted a prospective multicenter randomized controlled trial of 698 patients undergoing transradial cardiac catheterization. Patients were randomized to needle insertion with either palpation or real-time US guidance (351 palpation, 347 US). Primary endpoints were the number of forward attempts required for access, first-pass success rate, and time to access. Results The number of attempts was reduced with US guidance [mean: 1.65 ± 1.2 vs. 3.05 ± 3.4, p Conclusions Ultrasound guidance improves the success and efficiency of radial artery cannulation in patients presenting for transradial catheterization. (Radial Artery Access With Ultrasound Trial [RAUST]; NCT01605292 ) |
| Databáze: | OpenAIRE |
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