Safety and Efficacy of Ulnar Artery Approach for Percutaneous Cardiac Catheterisation: Systematic Review and Meta-Analysis

Fernandez, Ritin; Zaky, F.; Ekmejian, A.; Curtis, Elizabeth; Lee, A.

doi:10.1016/j.hlc.2018.06.985

Cited by 1 publication

(2 citation statements)

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“…In a meta-analysis of six trials in 2018 (5,299 patients) by Fernandez et al, 33 ulnar versus radial access showed no significant difference in major adverse cardiac events, complications, arterial access time, fluoroscopy time, or contrast load. However, in another meta-analysis from 2016 (five trials, 2,744 patients) by Dahal et al, 34 ulnar showed increased puncture rates and access crossover with similar safety (complications) and efficacy as radial.…”

Section: Ulnar Trialsmentioning

confidence: 95%

“…Moreover, a recent meta-analysis showed no difference in complications between standard radial and ulnar access for cardiac catheterization. 33 Ulnar artery occlusion occurs in 1.9%. 40 Using ultrasound evaluation, ulnar and radial artery occlusion (no differences between either) occurs in 6-8% of cardiac catheterization or PCI.…”

Section: Complications Of Alternative Accessmentioning

confidence: 99%

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Systematic review of alternative access for cardiac catheterization and percutaneous coronary intervention: Dorsal distal radial and ulnar artery catheterization

Kar

2019

Cathet Cardio Intervent

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The femoral and radial arteries are the standard access routes for cardiac catheterization. In cases where the right radial artery has been previously utilized or is not suitable for repeat procedures, the left dorsal distal radial artery (anatomical snuff box) or the ulnar artery may be an alternative access site. In this systematic review, alternative access sites are described along with the techniques of cannulation, technical considerations, ultrasound imaging, clinical studies, and their complications. As we routinely perform more radial procedures, increased complications will arise, so it becomes important to gain expertise in alternative access for future coronary interventions. Such a systematic review has not been previously published so it will enhance the reader's knowledge of alternative access.

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Section: Ulnar Trialsmentioning

confidence: 95%

Section: Complications Of Alternative Accessmentioning

confidence: 99%