scholarly journals 100.73 Ultrasound-Guided Distal Transradial Access in the Anatomical Snuffbox in Coronary Angiography and Intervention

2019 ◽  
Vol 12 (4) ◽  
pp. S22
Author(s):  
Sang Yeub Lee ◽  
Min Kim ◽  
Sang Min Kim ◽  
Jang-Whan Bae ◽  
Kyung-Kuk Hwang ◽  
...  
Keyword(s):  
Coronary Angiography ◽  
Ultrasound Guided ◽  
Transradial Access

scholarly journals A Comparative Analysis between Ultrasound-Guided and Conventional Distal Transradial Access for Coronary Angiography and Intervention

2020 ◽  
Vol 2020 ◽  
pp. 1-8
Author(s):  
Shinsuke Mori ◽  
Keisuke Hirano ◽  
Masahiro Yamawaki ◽  
Norihiro Kobayashi ◽  
Yasunari Sakamoto ◽  
...  
Keyword(s):  
Coronary Angiography ◽  
Failure Rate ◽  
Complication Rate ◽  
Artery Occlusion ◽  
Ultrasound Guided ◽  
Access Site ◽  
Transradial Access ◽  
Hospital Stays ◽  
Procedural Success ◽  
A New Technique

Objectives. To compare feasibility and safety between ultrasound-guided and conventional distal transradial access (dTRA). Background. Distal transradial access, a new technique for coronary angiography (CAG) and percutaneous coronary interventions (PCI), is safe and feasible and will become popular worldwide. Ultrasound-guided dTRA has been advocated to reduce failure rate and access-site complications. However, to date, the comparison of feasibility and safety between ultrasound-guided and conventional dTRA has not been reported. Method. Overall, 137 patients (144 procedures) who underwent CAG or PCI using dTRA between September 2018 and February 2019 were investigated. These patients were classified into two groups: C (dTRA with conventional punctures; 76 patients, 79 procedures) and U (dTRA with ultrasound-guided punctures; 61 patients, 65 procedures) groups. Successful procedural rate, procedural outcomes, and complication rate during hospital stays were compared between the two groups. Results. The procedural success rate was significantly higher in the U group than in the C group (97% vs. 87%, P=0.0384). However, the rate of PCI, puncture time, total fluoroscopy time, the volume of contrast medium, the rate of access-site ecchymosis, and incidence of nerve disorder were similar between the two groups. Additionally, radial artery occlusion after the procedure did not occur in this study. Conclusion. The ultrasound-guided dTRA for CAG or PCI was associated with a lower failure rate than conventional dTRA. However, there were no significant differences in puncture time and complication rate between the two procedures.

scholarly journals Feasibility and safety of the successive use of distal transradial access for coronary angiography and intervention in the same arm

2021 ◽  
Author(s):  
Takeshi Yamada ◽  
Soichiro Washimi ◽  
Sho Hashimoto ◽  
Norimasa Taniguchi ◽  
Shunsuke Nakajima ◽  
...  
Keyword(s):  
Coronary Angiography ◽  
Transradial Access

Abstract 17406: Early Experience With Ultrasound Guided Distal Trans-Radial Access in the Anatomical Snuffbox in Coronary Angiography and Intervention

Circulation ◽  
2018 ◽  
Vol 138 (Suppl_1) ◽  
Author(s):  
Sangyeub Lee ◽  
Woong-su Yoon ◽  
Daehwan Bae ◽  
Min Kim ◽  
Sang Min Kim ◽  
...  
Keyword(s):  
Coronary Angiography ◽  
Success Rate ◽  
Radial Artery ◽  
Early Experience ◽  
Coronary Intervention ◽  
Ultra Sound ◽  
Potential Candidate ◽  
Ultrasound Guided ◽  
Radial Approach ◽  
Radial Access

Early experience with ultrasound guided distal trans-radial access in the anatomical snuffbox in coronary angiography and intervention. Objective: We aimed to demonstrate the feasibility and safety of the ultrasound guided distal trans-radial coronary angiography and intervention. Methods: Patients assigned to one operator program underwent diagnostic or procedural intervention through distal trans-radial approach in the anatomical snuffbox between January 2018 and May 2018. All of patients had palpable artery in their distal radial artery. The operator did the coronary procedure via distal radial access at anatomical snuffbox. When the pulse was weak or the target artery was very small, the operator punctured under ultrasound guidance (V-scan with dual probe, GE heathcare, USA) Results: 56 patients were enrolled. Mean age of patients was 65.1 years old and 68% were male. About 70% of patients were presented with stable angina feature. In diagnostic procedure, 4F (3, 5.6%) or 5F (29, 54.7%) sheath was used and we did coronary intervention via 6F (21, 39.6%) Sheath. Ultrasound guided puncture was done for 33 patients (58.9%). Overall Success rate of distal trans-radial angiography and intervention was 94.6% (3 failed cases). Success rate of ultrasound guided procedure was 97% (only 1 failed case). Left distal radial puncture was done for 18 patients (33.9%). 16% of patients had chronic kidney disease, especially end stage renal disease (11%) to preserve radial artery which was potential candidate of arteriovenous fistulae for dialysis. There was no BARC type 2-5 bleeding in hospital stay and follow up at out-patient clinic. Conclusion: Ultra sound guided distal radial approach is feasible and safe as a good alternative technique for coronary angiography and interventions.

scholarly journals TCT-788 Integrative Approach Following Transradial Access for Coronary Angiography Yields Heparin Avoidance, Ultrafast Hemostasis and Absolute Radial Artery Patency

2019 ◽  
Vol 74 (13) ◽  
pp. B772
Author(s):  
Gregory Sgueglia ◽  
Francesco Summaria ◽  
Gaetano Gioffrè ◽  
Fabrizio D’Errico ◽  
Maria Benedetta Giannico ◽  
...  
Keyword(s):  
Coronary Angiography ◽  
Radial Artery ◽  
Integrative Approach ◽  
Transradial Access

From Femoral to Radial Approach in Coronary Intervention

Angiology ◽  
2016 ◽  
Vol 68 (4) ◽  
pp. 281-287 ◽  
Author(s):  
Renatomaria Bianchi ◽  
Ludovica D’Acierno ◽  
Mario Crisci ◽  
Donato Tartaglione ◽  
Maurizio Cappelli Bigazzi ◽  
...  
Keyword(s):  
Cost Effectiveness ◽  
Coronary Angiography ◽  
Coronary Intervention ◽  
Access Site ◽  
Femoral Access ◽  
Transradial Approach ◽  
Operator Experience ◽  
Transradial Access ◽  
Hemorrhagic Events ◽  
Duration Of Hospitalization

Since the first cardiac catheterization in 1929, this procedure has evolved considerably. Historically performed via the transfemoral access, in the last years, the transradial access has been spreading gradually due to its many advantages. We have conducted a review of published literature concerning efficacy, safety, and cost-effectiveness, and we analyzed our patients’ data, including the results of the recently published Minimizing Adverse hemorrhagic events by TRansradial access site and systemic implementation of angioX (MATRIX) study. This review confirmed the superiority of the transradial access compared to the femoral access, especially regarding complications related to the access site, duration of hospitalization, and comfort for the patient. The transradial approach is an excellent option for coronary angiography, and the procedure’s risks are reduced by increased operator experience.

Comparison of Standard Catheters Versus Radial Artery–Specific Catheter in Patients Who Underwent Coronary Angiography Through Transradial Access

2016 ◽  
Vol 118 (3) ◽  
pp. 357-361 ◽  
Author(s):  
On Chen ◽  
Sunny Goel ◽  
Michael Acholonu ◽  
Guy Kulbak ◽  
Shivani Verma ◽  
...  
Keyword(s):  
Coronary Angiography ◽  
Radial Artery ◽  
Transradial Access
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