Transradial approach for coronary interventions

Brito, José Carlos; Júnior, Antônio Azevedo; Oliveira, Adriano Dias Dourado; Sohsten, Roberto Von; Rd, Santos Filho; Carvalho, Heitor G.

doi:10.1590/s0066-782x2001000500003

Cited by 13 publications

(11 citation statements)

References 21 publications

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“…In this study, percutaneous intervention by trans‐radial approach failed in two patients because of intense radial artery spasm, and two cases of mild extravasation over radial artery occurred without major sequelae. The complication rate of the trans‐radial approach was consistent with previous reports (12). Regarding radial artery occlusion, Stella et al.…”

Section: Discussionsupporting

confidence: 91%

Feasibility of Trans‐Radial Approach in Percutaneous Intervention for Upper Arm Dialysis Access

Lin

Hsu

et al. 2008

Seminars in Dialysis

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Background: This retrospective study evaluated the feasibility and efficacy of trans-radial intervention for upper arm dialysis access. Methods: This study retrospectively reviewed 165 trans-radial interventions performed for upper arm dialysis access in 101 patients. Sixty-nine patients had arteriovenous graft (AVG), and 32 had arteriovenous fistula (AVF). Balloon angioplasty was performed in 66 stenotic dialysis accesses and 99 thrombosed dialysis accesses. Thrombosed dialysis access was further managed by additional balloon thrombectomy with or without urokinase injection. Results: Procedural time was 46.7 AE 25.5 minutes. Anatomic and clinical success rates were 89.7% and 84.2%, respectively. The rate of complications, most of which involved lesion rup-

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Section: Discussionsupporting

confidence: 91%

Feasibility of Trans‐Radial Approach in Percutaneous Intervention for Upper Arm Dialysis Access

Lin

Hsu

et al. 2008

Seminars in Dialysis

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“…14,15 In the majority of cases, with Allen's test preservation, the occlusion is asymptomatic. Several factors have been associated with vessel occlusion, such as the type of compression used, the introducer sheath/vessel diameter ratio, 19 the administered heparin dose, 15 and the maintenance of flow distal to the puncture site during compression.…”

Section: Discussionmentioning

confidence: 99%

Avaliação da patência da artéria radial após cateterismo transradial

Santos¹,

Borba²,

Moraes³

et al. 2012

Rev. Bras. Cardiol. Invasiva

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background: Although the transradial approach has reduced vascular complications, radial artery occlusion is still considered one of its limitations. The aim of this study was to evaluate radial artery patency after transradial cardiac catheterization. Methods: Prospective cohort study of patients undergoing cardiac catheterization using the transradial approach. Procedures were performed with 5 F and 6 F catheters with the administration of 5,000 IU of heparin and 200 μg of nitroglycerin through the radial sheath. Radial artery blood flow was assessed by Doppler before, immediately after bandage removal and 7 days after the procedure. Results: The study included 120 patients of which 42.5% were males, with 59.1 ± 10.6 years of age, 25.8% were diabetic, weighing 77.4 ± 14.2 kg and height of 166 ± 8.1 cm. The number of catheters used was 2.3 ± 0.5 per patient, 55.8% using 6 F sheaths. The duration of the procedure was 14.8 ± 5.2 minutes, the puncture time was 129.7 ± 124.1 seconds, and the fluoroscopy time was 4 ± 2.3 minutes. Radial spasm and crossover to the femoral technique occurred in 20.8% and 1.7% of the procedures, respectively. Significant hematoma was observed in 2.4% of the patients. At 1 week of followup, arterial occlusion was observed in 1.7%, and reduced blood flow in 26.7% of the patients. Conclusions: Radial artery occlusion following diagnostic procedure using the

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“…1 After local anesthesia and a small skin incision, the artery is punctured using a thinwalled needle with a 1.0 to 1.2-mm outer diameter with or without a central mandril. The sheath remains in place, and the needle is removed and replaced with the guide wire.…”

mentioning

confidence: 99%

Effects of music on patients undergoing a C-clamp procedure after percutaneous coronary interventions: A randomized controlled trial

Chan

2007

Heart & Lung

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Transradial approach for coronary interventions

Abstract: Radial artery approach is practical and safe for percutaneous coronary interventions there was a low incidence of complications.

Cited by 13 publications

References 21 publications

Feasibility of Trans‐Radial Approach in Percutaneous Intervention for Upper Arm Dialysis Access

Feasibility of Trans‐Radial Approach in Percutaneous Intervention for Upper Arm Dialysis Access

Avaliação da patência da artéria radial após cateterismo transradial

Effects of music on patients undergoing a C-clamp procedure after percutaneous coronary interventions: A randomized controlled trial

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