The Left Distal Transradial Artery Access for Coronary Angiography and Intervention: A US Experience
| Autor: | Karim Al-Azizi, Kyle Gobeil, Ali Haider, Gregory Giugliano, Vikram Grewal, Amir Lotfi, Khawar Maqsood, Amir Mohani |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Cardiac Catheterization medicine.medical_treatment Post-Procedure Hemorrhage Femoral artery Punctures 030204 cardiovascular system & hematology Coronary Angiography 03 medical and health sciences 0302 clinical medicine Hematoma Percutaneous Coronary Intervention Risk Factors medicine.artery Catheterization Peripheral medicine Humans 030212 general & internal medicine Radial artery Cardiac catheterization Aged Retrospective Studies business.industry Hemostatic Techniques Percutaneous coronary intervention General Medicine medicine.disease United States Surgery medicine.anatomical_structure Treatment Outcome Conventional PCI Radial Artery Feasibility Studies Female Cardiology and Cardiovascular Medicine business Artery |
| Zdroj: | Cardiovascular revascularization medicine : including molecular interventions. 20(9) |
| ISSN: | 1878-0938 |
| Popis: | Background The radial artery is the access of choice in many catheterization labs around the world due to its proven benefits over the femoral artery access. There has been growing interest in the left radial artery. We sought to evaluate the feasibility, safety and complication rates of the left distal radial artery (ldTRA) access for cardiac catheterization. Methods This is a single arm retrospective study evaluating the feasibility and safety of performing cardiac catheterization through ldTRA. The procedure was completed using standard diagnostic and guiding catheters. Hemostasis was achieved with a radial band. Feasibility was the ability to cannulate the distal left radial artery as well as completing the procedure without requiring an additional arterial access. The safety point included hematoma, bleeding or neuropathy. Results ldTRA was attempted in 61 patients. 59 patients had successful completion of the procedure through ldTRA. Conversion occurred in 1 patient (1.7%), requiring an additional arterial access to complete the procedure. 34 patients (55.7%) required percutaneous coronary intervention (PCI). There was no access site bleeds post procedure, no hematomas, with 100% successful hemostasis with a radial hemostatic band. There were 2 cases requiring reaccess of the distal left radial artery access for repeat revascularization, with procedure success and good left radial artery patency. Conclusion ldTRA is a safe and feasible arterial access in a radial experienced catheterization lab. ldTRA provides improved operator ergonomics and patient's comfort, in addition to the advantage of being able to cannulate the bypass grafts and with a very low risk of vascular complications. |
| Databáze: | OpenAIRE |
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