Transradial cardiac catheterization in patients with prior brachial artery cutdown

Autor: Paolo Esente, Ronald P. Caputo, William Grant, Kathleen Fedele, Alessandro Giambartolomei, Alan Simons
Rok vydání: 1999
Předmět:
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