Ulnar artery versus radial artery approach for arterial cannulation: a prospective, comparative study

Karacalar, Serap; Türe, Hatice; Barış, Sibel; Karakaya, Deniz; Sarıhasan, Binnur

doi:10.1016/j.jclinane.2006.10.012

Cited by 18 publications

(10 citation statements)

References 22 publications

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“…16,148 -152 In a series of 50 patients, Karacalar et al 151 described a 100% success rate of cannulation in patients with strong ulnar pulse and 59% success rate in patients with a weak ulnar pulse without complications. 16,148 -152 In a series of 50 patients, Karacalar et al 151 described a 100% success rate of cannulation in patients with strong ulnar pulse and 59% success rate in patients with a weak ulnar pulse without complications.…”

Section: Ulnar Artery Cannulationmentioning

confidence: 99%

Radial Artery Cannulation: A Comprehensive Review of Recent Anatomic and Physiologic Investigations

Brzeziński¹,

Luisetti²,

London³

2009

Anesthesia &Amp; Analgesia

295

226

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Consistent anatomic accessibility, ease of cannulation, and a low rate of complications have made the radial artery the preferred site for arterial cannulation. Radial artery catheterization is a relatively safe procedure with an incidence of permanent ischemic complications of 0.09%. Although its anatomy in the forearm and the hand is variable, adequate collateral flow in the event of radial artery thrombosis is present in most patients. Harvesting of the radial artery as a conduit for coronary artery bypass grafting, advances in plastic and reconstructive surgery of the hand, and its use as an entry site for cardiac catheterization has provided new insight into the collateral blood flow to the hand and the impact of radial arterial instrumentation. The Modified Allen's Test has been the most frequently used method to clinically assess adequacy of ulnar artery collateral flow despite the lack of evidence that it can predict ischemic complications in the setting of radial artery occlusion. Doppler ultrasound can be used to evaluate collateral hand perfusion in an effort to stratify risk of potential ischemic injury from cannulation. Limited research has demonstrated a beneficial effect of heparinized flush solutions on arterial catheter patency but only in patients with prolonged monitoring (>24 h). Conservative management may be equally as effective as surgical intervention in treating ischemic complications resulting from radial artery cannulation. Limited clinical experience with the ultrasound-guided arterial cannulation method suggests that this technique is associated with increased success of cannulation with fewer attempts. Whether use of the latter technique is associated with a decrease in complications has not yet been verified in prospective studies. Research is needed to assess the safety of using the ulnar artery as an alternative to radial artery cannulation because the proximity and attachments of the ulnar artery to the ulnar nerve may potentially expose it to a higher risk of injury.

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Section: Ulnar Artery Cannulationmentioning

confidence: 99%

Radial Artery Cannulation: A Comprehensive Review of Recent Anatomic and Physiologic Investigations

Brzeziński¹,

Luisetti²,

London³

2009

Anesthesia &Amp; Analgesia

295

226

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“…In one study, the success rate of radial artery cannulation at fi rst puncture attempt with a 22-gauge, 3.1-cm, polyethylene catheter was 64.4% in 45 nonatherosclerotic patients [11]. However, atherosclerotic radial arteries have structural changes attributable to atherosclerosis, such as irregulation, tortuosity, and fragility, as well as the actual disappearance of muscle and elastic fi bers and replacement by fi brous tissue [12].…”

Section: Discussionmentioning

confidence: 99%

The impact of two arterial catheters, different in diameter and length, on postcannulation radial artery diameter, blood flow, and occlusion in atherosclerotic patients

et al. 2009

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“…A study by anesthesiologists found a radial artery cannulation success rate of 90%; however, when the pulse was weak, the success rate dropped to 75%. 7 The Centers for Disease Control and Prevention currently recommends that central venous catheters be placed via ultrasound whenever the technology is available. 3 Ultrasound guidance has been shown to reduce complications and increase success rates for bedside clinicians, including respiratory therapists (RTs), during central venous catheter insertion.…”

Section: Radial Artery Cannulationmentioning

confidence: 99%

Review of Ultrasound-Guided Radial Artery Catheter Placement

Miller

Bardin

2015

Respir Care

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Introduction Radial Artery Cannulation Ultrasound Techniques Discussion ConclusionsRadial artery catheters are commonly placed for continuous blood pressure monitoring, frequent arterial blood gas analysis, or frequent blood sampling for diagnostic testing. Radial artery cannulation can be challenging and ultrasound guidance has emerged as a valuable adjunct for the placement of radial artery catheters. The advantages of ultrasound guidance include: real-time visualization of landmarks, improved pre-procedure planning, reduction in complications, less time spent at the bedside, and improved first-attempt success rates. Disadvantages of ultrasound guidance include: equipment cost, equipment availability, limited availability of experts to train providers, and the cost of training providers. Ultrasound machines are readily available and widely utilized in many emergency departments, operating rooms, and ICUs. We will summarize the use of ultrasound guidance for the placement of radial artery catheters and describe the techniques used during ultrasound-guided arterial catheter placement. Training on the use of ultrasound should be encouraged for all practitioners who place radial artery catheters.

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Ulnar artery versus radial artery approach for arterial cannulation: a prospective, comparative study

Cited by 18 publications

References 22 publications

Radial Artery Cannulation: A Comprehensive Review of Recent Anatomic and Physiologic Investigations

Radial Artery Cannulation: A Comprehensive Review of Recent Anatomic and Physiologic Investigations

The impact of two arterial catheters, different in diameter and length, on postcannulation radial artery diameter, blood flow, and occlusion in atherosclerotic patients

Review of Ultrasound-Guided Radial Artery Catheter Placement

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