Transradial cardiac catheterization in patients with prior brachial artery cutdown
Autor: | Paolo Esente, Ronald P. Caputo, William Grant, Kathleen Fedele, Alessandro Giambartolomei, Alan Simons |
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Rok vydání: | 1999 |
Předmět: |
Male
Cardiac Catheterization medicine.medical_specialty Brachial Artery Heart Diseases medicine.medical_treatment Transradial catheterization Coronary artery bypass surgery medicine.artery Internal medicine Occlusion medicine Humans Radiology Nuclear Medicine and imaging In patient Radial artery Brachial artery Retrospective Studies Cardiac catheterization business.industry Significant difference General Medicine Middle Aged Surgery Radial Artery Cardiology Female Safety Cardiology and Cardiovascular Medicine business Vascular Surgical Procedures |
Zdroj: | Catheterization and Cardiovascular Interventions. 48:271-274 |
ISSN: | 1522-726X 1522-1946 |
DOI: | 10.1002/(sici)1522-726x(199911)48:3<271::aid-ccd7>3.0.co;2-0 |
Popis: | The safety and efficacy of transradial cardiac catheterization in patients with prior ipsilateral brachial cutdown is not known. Using standard techniques we performed transradial catheterization in 278 consecutive patients, of which 63 had prior brachial cutdown. All patients had a strongly palpable radial pulse and a negative Allen's test. Although patients with prior cutdown were older and had a higher incidence of hypertension and prior coronary artery bypass surgery, there was no significant difference in success rates for transradial catheterization (93.6% vs. 95.3%; P = NS). There were no periprocedural complications. Brachial artery occlusion was responsible for only two unsuccessful catheterization attempts. We conclude that, with careful preprocedural screening, ipsilateral transradial cardiac catheterization can be successfully performed in a majority of patients with prior brachial cutdown. Cathet. Cardiovasc. Intervent. 48:271–274, 1999. © 1999 Wiley-Liss, Inc. |
Databáze: | OpenAIRE |
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