Successive transradial access for coronary procedures: Experience of Quebec Heart-Lung Institute

Abdelaal, Eltigani; Molin, Pierre; Plourde, Guillaume; MacHaalany, Jimmy; Bataille, Yoann; Brousseau-Provencher, Cynthia; Montminy, Sarah; Larose, Éric; Roy, Louis; Gleeton, Onil; Barbeau, Gérald; Nguyen, Can M.; Noël, Bernard; Costerousse, Olivier; Bertrand, Olivier

doi:10.1016/j.ahj.2012.10.016

Cited by 44 publications

(22 citation statements)

References 27 publications

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“…In the remaining 113 patients, we found only one patient who developed RAO at 1 month resulting in a low rate of RAO of 0.88% for the study population. Besides reduced sheath size, several other factors can explain the low rate of RAO found in this study including adequate anticoagulation (5000 IU Heparin) in all patients , exclusion of patients with previous TR procedure through the same artery , limited compression time up to 2 hours and most importantly the achievement of a strict « patent hemostatis » protocol with only two patients requiring occlusive compression of the radial artery in order to achieve postprocedural hemostasis. Of note, the low rate of radial occlusion found in our study is in line with previous studies using a patent hemostasis protocol (RAO between 0.8% and 1.8%) .…”

Section: Discussionmentioning

confidence: 86%

Initial experience with the glidesheath slender for transradial coronary angiography and intervention: A feasibility study with prospective radial ultrasound follow‐up

Aminian

Dolatabadi

Lefèbvre

et al. 2013

Cathet Cardio Intervent

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Section: Discussionmentioning

confidence: 86%

Initial experience with the glidesheath slender for transradial coronary angiography and intervention: A feasibility study with prospective radial ultrasound follow‐up

Aminian

Dolatabadi

Lefèbvre

et al. 2013

Cathet Cardio Intervent

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“…Selective angiography and TRA-PCI were performed with standard techniques. The radial sheath was removed in the cath lab immediately after completion of the procedure, and haemostasis achieved by application of an adjustable plastic bracelet 21. Study participation required written informed patient's consent before enrolment, and was approved by our institutional ethics committee.…”

Section: Methodsmentioning

confidence: 99%

Prediction and impact of failure of transradial approach for primary percutaneous coronary intervention

Abdelaal

MacHaalany

Plourde

et al. 2016

Heart

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“…5 The radial artery puncture was performed with the patient's upper limb in extension, along the body, using local anesthesia with 5 to 10 mL of 2% lidocaine and a Jelco 20G or 22G catheters. 5 The radial artery puncture was performed with the patient's upper limb in extension, along the body, using local anesthesia with 5 to 10 mL of 2% lidocaine and a Jelco 20G or 22G catheters.…”

Section: Methodsmentioning

confidence: 99%

Trends in the Use of the Transradial Approach in More Than a Decade: The InCor’s Experience

Santo¹,

Melo²,

Takimura³

et al. 2014

Revista Brasileira de Cardiologia Invasiva (English Version)

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Background:The use of the radial approach for diagnostic cardiac catheterization and percutaneous coronary interventions varies among different interventional cardiology centers in the world. We describe the trends in the use of this approach over the past 14 years at a tertiary hospital. Methods: Consecutive coronary procedures performed from 1999 to 2013 at a single center, in patients aged ≥ 35 years were identified. Age, gender, resource provider (Public or Private Healthcare System) and the complexity of the procedure (diagnostic or therapeutic) were retrospectively analyzed. Results: 103,253 procedures were included. The Brazilian Public Healthcare Service (SUS -Sistema Único de Saúde) was the resource provider in 77% of the cases. Mean age of patients was 62.2 ± 11.3 years and 58% were male. The radial approach was used in 6,402 (6.2%) procedures, showing a significant rise over time, which was more evident when analyzed comparatively for the six timepoints of service experience: 0.2%; 0.6%; 3.1%; 2.1%; 6.9%, and 24.4% respectively (p < 0.01). Even larger percentages of radial approach were observed when only the procedures performed by the SUS and diagnostic cardiac catheterizations were taken into account. There were also changes in the profile of vascular access, even though smaller, in the Private Healthcare System. Conclusions: We demonstrated progressive changes in the profile of the use of access routes for diagnostic cardiac catheterization and percutaneous coronary interventions at a large center over time. These data are consistent with the global trend and are significantly robust, especially when the last sextile is analyzed.

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Successive transradial access for coronary procedures: Experience of Quebec Heart-Lung Institute

Cited by 44 publications

References 27 publications

Initial experience with the glidesheath slender for transradial coronary angiography and intervention: A feasibility study with prospective radial ultrasound follow‐up

Initial experience with the glidesheath slender for transradial coronary angiography and intervention: A feasibility study with prospective radial ultrasound follow‐up

Prediction and impact of failure of transradial approach for primary percutaneous coronary intervention

Trends in the Use of the Transradial Approach in More Than a Decade: The InCor’s Experience

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