Transradial access through the anatomical snuffbox: Results of a feasibility study
| Autor: | Georgios Hahalis, Ioannis Ntouvas, Athanasios Moulias, Nikolaos Grapsas, Kalliopi Smaili, Aggeliki Papageorgiou, Periklis Davlouros, Anastasios Apostolos, Stefanos Despotopoulos, Georgios Vasilagkos, Amalia Papanikolaou, Grigorios Tsigkas |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Male
medicine.medical_specialty Anatomical snuffbox medicine.medical_treatment Arteriovenous fistula Coronary Artery Disease 030204 cardiovascular system & hematology Coronary Angiography Coronary artery disease 03 medical and health sciences Percutaneous Coronary Intervention 0302 clinical medicine medicine.artery Occlusion medicine Humans Diseases of the circulatory (Cardiovascular) system 030212 general & internal medicine Radial artery occlusion Radial artery Cardiac catheterization Transradial access business.industry Infant Newborn Percutaneous coronary intervention medicine.disease Surgery medicine.anatomical_structure RC666-701 Radial Artery Conventional PCI Feasibility Studies Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Hellenic Journal of Cardiology, Vol 62, Iss 3, Pp 201-205 (2021) |
| ISSN: | 1109-9666 |
| Popis: | Background Distal transradial access (dTRA), through the anatomical snuffbox (AS) of the hand, is a novel, potentially beneficial, vascular access for patients undergoing coronary procedures. Method Consecutive patients with an indication for coronary angiography and/or percutaneous coronary intervention (PCI) were enrolled in our tertiary center, from November 2018 to March 2019. The success rate of the procedure, the incidence of local complications, the time required for hemostasis, and the incidence of radial artery occlusion (RAO) were evaluated. Results Α total of 167 patients were catheterized through the dTRA (79.6% men, 20.4% women), with a median age of 64 years. The indication for catheterization was ACS in 80 (47.9%) patients, stable coronary artery disease in 51 (30.5%) patients, and other reasons in 36 (21.6%) patients. Fifty patients (32.9%) underwent PCI. Successful sheath insertion was recorded in 152 (91.0%) patients. The mean time to hemostasis after sheath removal was 52 ± 11 min. Vascular access site complications were evaluated with ultrasound in 62 (40.8%) of the enrolled patients, 40 ± 15 days after the procedure. Among them, 2 (3.2%) patients presented with arteriovenous fistula, and 2 (3.2%) patients with local occlusion at the puncture site within the AS and distal to the transverse ligament, with preservation of the patency of the radial artery proximal to the radial styloid process. Conclusion The dTRA may be a feasible and safe access site for diagnostic and interventional coronary procedures, with decreased incidence of RAO and time required for hemostasis compared to classical radial artery access. |
| Databáze: | OpenAIRE |
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