Efficacy and safety of transulnar coronary angiography and interventions—A single center experience

Abstract

In this first study evaluating long-term safety and feasibility of transulnar coronary angiography and complex coronary interventions, we conclude that transulnar approach appears to be safe and effective.

Safety and efficacy of ulnar artery approach for percutaneous cardiac catheterization: Systematic review and meta‐analysis

“…Given the limitations associated with the radial approach, the ulnar artery is increasingly being used for cardiac catheterization . Ulnar arterial access technique is similar to the radial approach .…”

“…Given the limitations associated with the radial approach, the ulnar artery is increasingly being used for cardiac catheterization . Ulnar arterial access technique is similar to the radial approach . After infiltration of local anesthetic, arterial puncture is achieved either by palpation of the site of maximal pulse prominence (hyperextension of the wrist will often accentuate the ulnar arterial pulsation), or less frequently, by ultrasound guidance.…”

Radial Artery Access for Percutaneous Cardiovascular Interventions: Contemporary Insights and Novel Approaches

“…The ulnar artery represents an alternative access for percutaneous procedures, and it is increasingly being used when radial access is not available (Table 2) [56,57,58,59,60,61,62]. The ulnar artery stems at the inferior margin of the antecubital fossa as a large branch of the brachial artery.…”

“…It passes in the forearm on the ulnar bone side deep to the flexor muscles and it reaches the hand through the Guyon canal. As compared to the radial artery, the ulnar artery has a lower incidence of anatomical variations, loops, and tortuosity; furthermore, the ulnar artery has a modest concentration of adrenergic receptors that limit the arterial spasm [60]. Conversely the deeper position of the vessel and the absence of a bony structure to compress against expose to a higher rate of access-site complication and impose a heavier compression [58].…”

The wise radialist's guide to optimal transfemoral access: Selection, performance, and troubleshooting

“…For this reason, this artery is harder to compress. However, after the initial learning curve, the transulnar approach for coronary angiography and intervention is feasible and safe, with rates of vascular complications, spasm and occlusion that are comparable to TRA .…”