Percutaneous Left and Right Heart Catheterization in Fully Anticoagulated Patients Utilizing the Radial Artery and Forearm Vein: A Two-Center Experience

Background: The upper limb approach utilizing transradial access for combined left and right heart catheterization (CLRHC) and ultrasound-guided antecubital venous access for isolated right heart catheterization (IRHC) are strategies that may reduce risks, especially in anticoagulated patients. combined left and right heart catheterization Objectives: To assess safety and feasibility of upper limb approach for IRHC or CLRHC in anticoagulated versus non-anticoagulated patients. Methods: Ninety-three patients who underwent IRHC or CLRHC with ultrasound-guided antecubital venous access and transradial arterial access were prospectively enrolled. The primary outcome was a composite of procedure failure and incidence of immediate vascular complications. Results: Of the 93 patients, 44 (47%) were on anticoagulation and 49 (53%) were not. Mean age was 54 ± 17 and 53 ± 15 years, respectively. Atrial fibrillation (39% vs 15%) and chronic kidney disease (21% vs 6%) were more common in anticoagulated patients. The main indication for anticoagulation was deep vein thrombosis/pulmonary thromboembolism in 22 patients (50%). The primary outcome occurred in 4 (8%) patients in the non-anticoagulated group as compared with 0 in the anticoagulated group ( p = 0.12). Procedure failure occurred in two patients (4%) and immediate vascular complications in two patients (4%) in the non-anticoagulated group ( p = 0.3 for all). There was no difference between groups regarding duration of the procedure, radiation dose, fluoroscopy time, post-procedure recovery room time and median time to venous or arterial hemostasis. Conclusions: The upper limb approach for heart catheterization had similar rates of procedure failure and immediate vascular complications in anticoagulated patients when compared to non-anticoagulated patients.

Download Full-text

TCT-413 Left and Right Heart Catheterizations Utilizing the Radial Artery and Forearm Vein: a Single Center Experience

Journal of the American College of Cardiology ◽

10.1016/j.jacc.2012.08.442 ◽

2012 ◽

Vol 60 (17) ◽

pp. B118

Author(s):

Simone Muraglia ◽

Giuseppe Braito ◽

Michele Dallago ◽

Alberto Menotti ◽

Roberto Bonmassari

Keyword(s):

Radial Artery ◽

Single Center ◽

Right Heart ◽

Single Center Experience ◽

Left And Right ◽

Forearm Vein

Download Full-text

Cardiac catheterization

Cardiac Catheterization and Coronary Intervention ◽

10.1093/med/9780198705642.003.0004 ◽

2020 ◽

pp. 71-105

Author(s):

Andrew Mitchell ◽

Giovanni Luigi De Maria ◽

Adrian Banning

Keyword(s):

Cardiac Catheterization ◽

Right Heart Catheterization ◽

Heart Catheterization ◽

Pressure Measurements ◽

Right Heart ◽

Non Invasive ◽

Contrast Angiography ◽

Doppler Techniques ◽

Left And Right ◽

Anatomical Information

Cardiac catheterization allows the invasive acquisition of haemodynamic data using direct and indirect pressure measurements and oxygen saturations, and provides anatomical information using contrast angiography. Right heart catheterization used to be a routine part of an invasive cardiac study. The increased accessibility and accuracy of non-invasive imaging (in particular, echocardiography and Doppler techniques), however, has reduced the need to perform right heart catheterization. This chapter describes the principal uses of cardiac catheterization, the basics of pressure waveforms, equipment required, accessing the left and right heart, left and right heart pressures and waveforms, how to perform calculations, and the techniques of ventriculography and aortography.

Download Full-text

TCT-843 Evaluation of safety and efficacy of left and right heart catheterization from transradial and antecubital access in patients on anticoagulation

Journal of the American College of Cardiology ◽

10.1016/j.jacc.2018.08.2088 ◽

2018 ◽

Vol 72 (13) ◽

pp. B336

Author(s):

Felipe Marques ◽

Gustavo Neves de Araújo ◽

Guilherme Pinheiro Machado ◽

Sandro Goncalves ◽

Luiz Carlos Bergoli ◽

...

Keyword(s):

Right Heart Catheterization ◽

Heart Catheterization ◽

Right Heart ◽

Safety And Efficacy ◽

Left And Right

Download Full-text

Left and Right Heart Catheterization

Netter's Cardiology ◽

10.1016/b978-1-4377-0637-6.00010-6 ◽

2010 ◽

pp. 79-84

Author(s):

Allison G. Dupont ◽

Mark E. Boulware ◽

George A. Stouffer

Keyword(s):

Right Heart Catheterization ◽

Heart Catheterization ◽

Right Heart ◽

Left And Right

Download Full-text

Left and Right Heart Catheterization

Handbook of Inpatient Cardiology ◽

10.1007/978-3-030-47868-1_32 ◽

2020 ◽

pp. 521-532

Author(s):

Mistyann-Blue Miller ◽

Duane Pinto

Keyword(s):

Right Heart Catheterization ◽

Heart Catheterization ◽

Right Heart ◽

Left And Right

Download Full-text

Acute hemodynamic effects of NO and sildenafil during right heart catheterization in PAH and nonPAH-PH

Pneumologie ◽

10.1055/s-0035-1551930 ◽

2015 ◽

Vol 69 (05) ◽

Author(s):

V Foris ◽

G Kovacs ◽

P Douschan ◽

X Kqiku ◽

C Hesse ◽

...

Keyword(s):

Right Heart Catheterization ◽

Heart Catheterization ◽

Hemodynamic Effects ◽

Right Heart

Download Full-text

Correlation of Data Obtained by Radiocardiography and Right-Heart Catheterization in Cardiac Patients

Nuklearmedizin ◽

10.1055/s-0037-1621365 ◽

1968 ◽

Vol 07 (02) ◽

pp. 125-129

Author(s):

J. Měštan ◽

V. Aschenbrenner ◽

A. Michaljanič

Keyword(s):

Capillary Pressure ◽

Transit Time ◽

Right Heart Catheterization ◽

Heart Catheterization ◽

Right Heart ◽

Pulmonary Capillary ◽

Filling Time ◽

Pulmonary Capillary Pressure ◽

The Mean ◽

Pulmonary Transit Time

SummaryIn patients with acquired and congenital valvular heart disease correlations of the parameters of the radiocardiographic curve (filling time of the right heart, minimal pulmonary transit time, peak-to-peak pulmonary transit time, and the so-called filling time of the left heart) with the mean pulmonary artery pressure and the mean pulmonary “capillary” pressure were studied. Further, a regression equation was determined by means of which the mean pulmonary “capillary” pressure can be predicted.

Download Full-text