2,914 results match your criteria Radial Artery Cannulation


Microsurgical head and neck reconstruction in patients with coronary artery disease: A perioperative assessment algorithm.

Microsurgery 2019 Jan 15. Epub 2019 Jan 15.

Department of Plastic and Reconstructive Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.

Background: With the rising number of patients in advanced age receiving microsurgical procedures, coronary artery disease (CAD) and its challenging management is of increasing importance. Evidence based data concerning morbidity and mortality are rare. We present our experiences with this highly selected patient population and propose a preoperative assessment algorithm. Read More

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http://dx.doi.org/10.1002/micr.30429DOI Listing
January 2019
2 Reads

Dynamic Needle Tip Positioning for Ultrasound-Guided Arterial Catheterization in Infants and Small Children With Deep Arteries: A Randomized Controlled Trial.

J Cardiothorac Vasc Anesth 2018 Dec 4. Epub 2018 Dec 4.

Department of Emergency and Critical Care Medicine, Institute of Biomedical & Health Sciences, Hiroshima University, Hiroshima, Japan.

Objective: Arterial catheterization for infants and small children is technically challenging. This study evaluated whether the dynamic needle tip positioning (DNTP) technique improved the success rate of ultrasound-guided radial artery catheterization in patients with a radial artery depth ≥4 mm compared with the conventional ultrasound-guided technique.

Design: Randomized controlled study. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S10530770183110
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http://dx.doi.org/10.1053/j.jvca.2018.12.002DOI Listing
December 2018
1 Read

Evaluation of the diameter of the distal radial artery at the anatomical snuff box using ultrasound in Japanese patients.

Cardiovasc Interv Ther 2019 Jan 7. Epub 2019 Jan 7.

Department of Cardiology, Tokai University Hachioji Hospital, Hachioji, Japan.

Catheter angioplasty or angiography via the distal access point of the radial artery (dRA), located at the anatomical snuff box, is a less invasive strategy for coronary intervention attracting considerable attention. Determining the diameter of the dRA is necessary to minimize the risk of artery occlusion and safely perform catheter intervention. This was a retrospective observational study including patients who underwent coronary angiography or coronary intervention at Aomori Kyoritsu Hospital, Aomori, Japan, between February 2018 and August 2018. Read More

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http://dx.doi.org/10.1007/s12928-018-00567-5DOI Listing
January 2019

Transradial access for coronary diagnostic and interventional procedures: Consensus statement and recommendations for India: Advancing Complex CoronariES Sciences through TransRADIAL intervention in India - ACCESS RADIAL™: Clinical consensus recommendations in collaboration with Cardiological Society of India (CSI).

Indian Heart J 2018 Nov - Dec;70(6):922-933. Epub 2018 May 1.

Department of Cardiology, Ruby Hall Clinic, India. Electronic address:

Radial access for cardiac catheterization and intervention in India has been growing steadily over the last decade with favorable clinical outcomes. However, its usage by interventional cardiologists varies greatly among Indian operators and hospitals due to large geographic disparities in health care delivery systems and practice patterns. It also remains unclear whether the advantages, as well as limitations of transradial (TR) intervention (as reported in the western literature), are applicable to developing countries like India or not. Read More

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http://dx.doi.org/10.1016/j.ihj.2018.03.004DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6306363PMC
January 2019

Safety of Calcium-Channel Blockers During Radial Cardiac Catheterization in Patients With Acute Myocardial Infarction or Systolic Heart Failure.

J Invasive Cardiol 2018 Dec 15. Epub 2018 Dec 15.

Virginia Commonwealth University Pauley Heart Center, 1200 East Broad Street, P.O. Box 980036, Richmond, VA 23298-0036 USA.

Objectives: The aim of this study was to evaluate the safety of calcium-channel blockers (CCBs) during radial artery catheterization in two populations with a contraindication to their use.

Background: Cardiac catheterization performed via the radial approach has become increasingly common worldwide, but adoption has been slow in the United States. One possible explanation is concern over radial artery vasospasm, which can complicate procedures. Read More

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December 2018

Comparison of hemostasis times with a chitosan-based hemostatic pad (Clo-Sur Radial™) vs mechanical compression (TR Band®) following transradial access: A pilot study.

Cardiovasc Revasc Med 2018 Dec 6. Epub 2018 Dec 6.

Memorial Regional Hospital, Memorial Cardiac and Vascular Institute, Memorial Healthcare System, Hollywood, FL 33021, USA.

Background: Hemostasis following transradial arterial access (TRA) is usually achieved by mechanical compression. This study investigated if use of a chitosan-based hemostatic pad (Clo-Sur Radial™) combined with mechanical compression (TR Band®) could shorten hemostasis time after TRA, compared with a TR Band® alone.

Methods: 40 patients undergoing cardiac catheterization and/or percutaneous coronary intervention were assigned into 4 cohorts post TRA: 10 patients received mechanical compression with a TR Band® alone for 120 min. Read More

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http://dx.doi.org/10.1016/j.carrev.2018.11.026DOI Listing
December 2018

Incidence of hemorrhagic complications with use of a radial compression device: a cohort study.

Rev Esc Enferm USP 2018 Dec 10;52:e03410. Epub 2018 Dec 10.

Universidade Federal de Ciências da Saúde de Porto Alegre, Porto Alegre, RS, Brazil.

Objective: To examine the incidence of hemorrhagic complications in patients undergoing radial cardiac catheterization and using a hemostatic device for arterial compression.

Method: A prospective cohort study conducted with patients undergoing elective cardiac catheterization in two hemodynamic laboratories in southern Brazil. The TR Band® radial compression device was used during 4 hours for hemostasis of the arterial puncture site. Read More

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http://dx.doi.org/10.1590/S1980-220X2017041003410DOI Listing
December 2018
1 Read

Distal radial access for coronary angiography and percutaneous coronary intervention: A state-of-the-art review.

Authors:
Thierry Corcos

Catheter Cardiovasc Interv 2018 Dec 11. Epub 2018 Dec 11.

Department of Cardiology, American Hospital of Paris and Hôpital Foch, Suresnes, France.

Since its introduction by Lucien Campeau three decades ago, percutaneous radial artery approach at the forearm has been shown to provide advantages over the femoral approach and has become the standard approach for coronary angiography and intervention. Though infrequent, vascular complications still remain, mainly radial artery occlusion. Therefore, a more distal radial approach at the snuffbox or at the dorsum of hand has been suggested, initially by anethesiologists for perioperative patient monitoring, and more recently by Babunashvili et al. Read More

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http://dx.doi.org/10.1002/ccd.28016DOI Listing
December 2018
2 Reads

Comparative outcomes of vascular access in patients older than 70 years with end-stage renal disease.

J Vasc Surg 2018 Oct 24. Epub 2018 Oct 24.

Division of Vascular Surgery, Department of Surgery, Kyungpook National University Hospital, Daegu, South Korea.

Objective: The advantage of arteriovenous fistulas (AVFs) in older patients requiring dialysis is controversial. We reviewed our vascular access experience in patients ≥70 years of age (older group) compared with younger patients.

Methods: We analyzed consecutive patients who underwent access surgery between 2013 and 2016. Read More

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http://dx.doi.org/10.1016/j.jvs.2018.07.061DOI Listing
October 2018
1 Read

Radial Artery Pseudoaneurysm following Cardiac Catheterization: A Nonsurgical Conservative Management Approach.

Heart Views 2018 Apr-Jun;19(2):67-70

Department of Cardiology, Dhanalakshmi Srinivasan Medical College and Hospial, Siruvachur, Perambalur, Tamil Nadu, India.

A radial artery pseudoaneurysm represents a rare, potentially catastrophic complication of arterial cannulation that has been reported after cardiac catheterization. Treatment options are limited to chemical, mechanical, and combined approaches to obliterate the radial artery pseudoaneurysm and tract. Manual compression protocols using the TR Band have been variableand anecdotal, without objective measurements of adequate compression, making this technique prone to failure (1). Read More

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http://dx.doi.org/10.4103/HEARTVIEWS.HEARTVIEWS_124_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6219282PMC
December 2018
1 Read

Dissection of Ascending Aorta: A Complication of Transradial Artery Access of Coronary Procedure.

Heart Views 2018 Apr-Jun;19(2):63-66

Virginia Commonwealth University Hospital, Richmond, Virginia, USA.

Iatrogenic acute dissection of ascending aorta following coronary angiography and percutaneous intervention is a rare complication. Most reports involve localized aortic dissections as a complication of cannulation of a coronary artery with propagation into the ascending aorta. It is usually treated by sealing the intima with a stent in the ostium of the coronary artery or conservative management, while extensive dissections may require a surgical intervention. Read More

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http://www.heartviews.org/text.asp?2018/19/2/63/244181
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http://dx.doi.org/10.4103/HEARTVIEWS.HEARTVIEWS_102_17DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6219284PMC
December 2018
2 Reads

Different Spasmolytic Regimens (Nitroglycerin vs Verapamil) and the Incidence of Radial Artery Occlusion After Transradial Catheterization.

J Invasive Cardiol 2018 Dec;30(12):461-464

Department of Cardiology and Vascular Medicine, Faculty of Medicine, University of Indonesia, Indonesian Cardiovascular Research Center, National Cardiovascular Center Harapan Kita, Jl S Parman Kav 87, Slipi, Jakarta Barat, 11420, Jakarta, Indonesia.

Objective: This study evaluated whether use of different spasmolytic regimens (nitroglycerin or verapamil) administered soon after sheath insertion affects postprocedure radial artery occlusion (RAO) in patients who underwent transradial catheterization.

Methods And Results: We performed a post hoc analysis of a randomized trial evaluating the use of 500 μg intra-arterial nitroglycerin just before sheath removal in 1706 patients undergoing transradial catheterization. Patients who received 200 μg or 300 μg nitroglycerin after sheath placement (group A; n = 688) were compared with patients who received 5 mg verapamil after sheath placement (group B; n = 1018). Read More

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December 2018
0.824 Impact Factor

Axillary, Chest Wall and Abdominal Hematoma as a Rare Complication of Radial Artery Catheterization.

Am J Case Rep 2018 Dec 5;19:1441-1444. Epub 2018 Dec 5.

Department of Interventional Cardiology, Advanced Cardiovascular Institute, Port of Spain, Trinidad and Tobago.

BACKGROUND Radial artery access during coronary angiography has gained popularity as there are fewer associated complications when compared with femoral artery access. However sporadic complications can occur following radial artery catheterization. A rare case of axillary, chest wall and abdominal hematoma is presented following radial artery catheterization. Read More

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http://dx.doi.org/10.12659/AJCR.909091DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6293862PMC
December 2018
2 Reads

The Effect of Vascular Morphology on Selective Left Vertebral Artery Catheterization in Right-sided Radial Artery Cerebral Angiography.

Ann Vasc Surg 2018 Nov 27. Epub 2018 Nov 27.

Department of Neurology, Affiliated RuiKang Hospital of Guangxi University of Chinese Medicine, Nanning, People's Republic of China.

Background: The aim of this study is to determine, via retrospective study, the effects of vascular morphology and related factors on the success of selective arterial catheterization of the left vertebral artery when approached via right-sided radial artery cerebral angiography.

Methods: Patients who had undergone diagnostic cerebral angiography were enrolled, and their medical history, catheter type, and vessel morphology were analyzed.

Results: A total of 205 patients were enrolled in this study from February 2014 to December 2015. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08905096183088
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http://dx.doi.org/10.1016/j.avsg.2018.08.112DOI Listing
November 2018
2 Reads

Clinical determinants of radial artery caliber assessed at the time of transradial cardiac catheterization using routine prospective radiobrachial angiography.

Cardiovasc Revasc Med 2018 Dec 26;19(8):939-943. Epub 2018 Sep 26.

University of Chicago Medicine, Heart and Vascular Center, Chicago, IL, United States of America. Electronic address:

Background: Transradial coronary angiography/intervention (TRA/TRI) is associated with reduced rates of bleeding, vascular complications, and major adverse cardiovascular events as compared to the transfemoral approach, but remains underutilized in the United States (U.S.). Read More

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http://dx.doi.org/10.1016/j.carrev.2018.08.025DOI Listing
December 2018

Access and closure management of large bore femoral arterial access.

J Interv Cardiol 2018 Dec 19;31(6):969-977. Epub 2018 Nov 19.

Wayne State University, School of Medicine, Detroit Medical Center, Detroit Heart Hospital, Detroit, Michigan.

Femoral and radial artery access continue to be the standard of care for percutaneous coronary interventions. Cardiac catheterization has progressed to encompass a wide range of diagnostic and interventional procedures including coronary, peripheral, endovascular, and structural heart disease interventions. Despite advanced technology to make these procedures safe, bleeding, and vascular complications continue to be a substantial source of morbidity, especially in patients undergoing large-bore access procedures. Read More

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http://dx.doi.org/10.1111/joic.12571DOI Listing
December 2018

Heparin for diagnostic trans-radial catheterization: Can we have some randomized data?

Catheter Cardiovasc Interv 2018 Nov;92(5):860-861

Knight Cardiovascular Institute, Oregon Health and Science University, Portland, Oregon.

Marked heterogeneity exists regarding the dose, time and route of administration of unfractionated heparin for diagnostic trans-radial procedures. In an era of smaller caliber hydrophilic radial sheaths, patent hemostasis technique, and shorter compression times, the utility of heparin to prevent radial artery occlusion remains a question. A randomized clinical trial assessing the utility, timing, dose, and route of administration of unfractionated heparin for diagnostic radial catheterization with an aim to prevent radial artery occlusion is needed. Read More

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http://dx.doi.org/10.1002/ccd.27937DOI Listing
November 2018

Residual damage in previously instrumented radial arteries.

Catheter Cardiovasc Interv 2018 Nov;92(5):871-872

College of Medicine, Pennsylvania State University, Hershey, Pennsylvania.

Pre-procedural radial artery ultrasound may reduce both vascular access time and total procedure time in patients who previously had radial artery procedures. Many radial arteries that were previously instrumented appear to have chronic changes that may make them unfavorable for future use. Attention to best practice for radial artery catheterization and measurements of long-term radial artery damage may be important metrics for sustainable, long-term use of transradial access. Read More

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http://doi.wiley.com/10.1002/ccd.27939
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http://dx.doi.org/10.1002/ccd.27939DOI Listing
November 2018
9 Reads

Brain embolization of a healthy artery fragment as a complication of a cardiac catheterization.

J Neuroradiol 2018 Nov 15. Epub 2018 Nov 15.

Department of Neurosciences, Hospital Universitari Germans Trias i Pujol, Badalona, Barcelona, Spain.

Ischemic stroke is the most common neurological complication of cardiac catheterization resulting in a high morbidity and mortality. We present a 44-year-old man admitted for vasospastic angina that suffered a right middle cerebral artery (MCA) occlusion after a cardiac catheterization. Mechanical thrombectomy was indicated and complete arterial recanalization was achieved. Read More

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http://dx.doi.org/10.1016/j.neurad.2018.10.006DOI Listing
November 2018

Gangrene and finger amputation after radial artery cannulation.

J Clin Anesth 2018 Nov 13;54:126. Epub 2018 Nov 13.

Deptt. of Anesthesiology, SN Medical college, Jodhpur, Rajasthan, India.

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http://dx.doi.org/10.1016/j.jclinane.2018.10.033DOI Listing
November 2018

Radial artery occlusion with a kaolin-filled pad after transradial cardiac catheterization.

Medicine (Baltimore) 2018 Nov;97(46):e13134

Division of Cardiology, Department of Internal Medicine, Chi-Mei Medical Center, Yong-Kang District.

Radial artery occlusion (RAO) occurs in 2% to 18% of patients after transradial access (TRA) cardiac catheterization. Using a kaolin-filled pad (QuikClot) reduces compression time during TRA and might reduce RAO. We examined the RAO risk with the kaolin-filled pad after TRA cardiac catheterization. Read More

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http://dx.doi.org/10.1097/MD.0000000000013134DOI Listing
November 2018

Acute kidney injury post cardiac catheterization: Does vascular access route matter?

Curr Cardiol Rev 2018 Nov 12. Epub 2018 Nov 12.

Department of Medicine, Einstein Medical Center, Philadelphia, PA 19141. United States.

Background: Acute Kidney Injury as a complication of cardiac catheterization is associated with increased length of hospital stay and mortality. In recent years, the use of the radial artery for cardiac catheterization is increasing in frequency.

Objective: The objective of this concise review was to evaluate method of cardiac access site and its impact on Acute Kidney Injury following cardiac catheterization. Read More

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http://dx.doi.org/10.2174/1573403X14666181113112210DOI Listing
November 2018
8 Reads

The left distal trans-radial artery access for coronary angiography and intervention: A US experience.

Cardiovasc Revasc Med 2018 Oct 25. Epub 2018 Oct 25.

Baystate Medical Center, University of Massachusetts Medical School, Springfield, MA, United States of America; Tufts University School of Medicine, MA, United States of America.

Background: The radial artery is the access of choice in many catheterization labs around the world due to its proven benefits over the femoral artery access. There has been growing interest in the left radial artery. We sought to evaluate the feasibility, safety and complication rates of the left distal radial artery (ldTRA) access for cardiac catheterization. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15538389183046
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http://dx.doi.org/10.1016/j.carrev.2018.10.023DOI Listing
October 2018
7 Reads

Multicenter Randomized Evaluation of High Versus Standard Heparin Dose on Incident Radial Arterial Occlusion After Transradial Coronary Angiography: The SPIRIT OF ARTEMIS Study.

JACC Cardiovasc Interv 2018 Nov 1;11(22):2241-2250. Epub 2018 Nov 1.

Patras University Hospital Rio, Patras, Greece.

Objectives: The aim of this study was to test the hypothesis that more intensive over standard anticoagulation administered during coronary angiography would significantly reduce rates of radial artery occlusion (RAO).

Background: RAO, although silent, remains a frequent and therefore worrisome complication following transradial coronary angiography. Anticoagulation is effective in reducing RAO, but the optimal heparin dose remains ill defined. Read More

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http://dx.doi.org/10.1016/j.jcin.2018.08.009DOI Listing
November 2018
1 Read

Right arm distal transradial (snuffbox) access for coronary catheterization: Initial experience.

Hellenic J Cardiol 2018 Oct 30. Epub 2018 Oct 30.

1st Cardiology Department, AHEPA General Hospital, Aristotle University of Thessaloniki, Greece.

Background: Distal transradial access (dTRA) by the snuffbox approach for coronary catheterization has emerged as an alternative to the classic forearm TRA with certain advantages and limitations.The aim of this study was to evaluate the effectiveness and safety of the dTRA exclusively from the right arm.

Methods: Forty-nine consecutive patients (31 males and 18 females, mean age 64 ± 12 years), who were candidates for coronary catheterization in two cath laboratory centers, regardless of the indication, were recruited. Read More

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http://dx.doi.org/10.1016/j.hjc.2018.10.008DOI Listing
October 2018
10 Reads

Ultrasonography and Seldinger's technique: Using the best of both worlds for difficult radial artery cannulation!

J Anaesthesiol Clin Pharmacol 2018 Jul-Sep;34(3):420-421

Department of Anesthesiology, Pain Medicine and Critical Care, All India Institute of Medical Sciences, New Delhi, India.

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http://dx.doi.org/10.4103/joacp.JOACP_15_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6194826PMC
November 2018
4 Reads

Use of Fentanyl During Percutaneous Coronary Interventions: Safety and Drawbacks.

Cardiovasc Drugs Ther 2018 Dec;32(6):625-632

Department of Cardiology, Santa Maria della Misericordia Hospital, Viale Tre Martiri 140, 45100, Rovigo, Italy.

Over the last years, fentanyl, a potent synthetic μ receptor-stimulating opioid, has become one of the most used drugs for both procedural analgesia and sedation in patients undergoing coronary angiography (CA) and/or percutaneous coronary intervention (PCI). However, few studies have been performed to evaluate the efficacy and the impact of this drug in patients with coronary artery disease (CAD) treated with PCI. Most of the previous studies have investigated the self-reported discomfort pain, demonstrating that patients premedicated with fentanyl generally reported a lower pain/discomfort when compared to placebo, benzodiazepines, or local anesthesia at the site of the artery cannulation, without significant variation in the hemodynamic response. Read More

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http://link.springer.com/10.1007/s10557-018-6835-5
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http://dx.doi.org/10.1007/s10557-018-6835-5DOI Listing
December 2018
14 Reads

Idiopathic true aneurysm of distal radial artery: case report.

Authors:
Nabil A Al-Zoubi

Vasc Health Risk Manag 2018 11;14:279-281. Epub 2018 Oct 11.

Department of Surgery, Jordan University of Science and Technology, Irbid, Jordan,

Introduction: The incidence rate of true non-traumatic radial artery aneurysms (RAAs) is low, and very few cases have been described. The majority are traumatic in origin and are iatrogenic pseudo-aneurysms following arterial cannulation. However, other rare causes such as vascular tumors, connective tissue diseases, and occupational injury have also been reported. Read More

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https://www.dovepress.com/idiopathic-true-aneurysm-of-distal
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http://dx.doi.org/10.2147/VHRM.S182788DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6188114PMC
November 2018
7 Reads

Alternative access site choice after initial radial access site failure for coronary angiography and intervention.

J Geriatr Cardiol 2018 Sep;15(9):585-590

The Second Department of Cardiology, Hellenic Red Cross Hospital of Athens, Athens, Greece.

Background: Transradial access for coronary catheterization is more technically challenging compared to the traditional transfemoral approach and radial access failure is quite common. The aim of this study is to describe the additional steps after initial radial access site failure in a high specialized forearm approach center.

Methods: A retrospective evaluation of all coronary catheterizations performed in our Department between January 2016 and December 2016 was performed, with focus on arterial access. Read More

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http://dx.doi.org/10.11909/j.issn.1671-5411.2018.09.001DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6188983PMC
September 2018

Identifying Complications and Optimizing Consultations following Transradial Arterial Access for Cardiac Procedures.

Ann Vasc Surg 2018 Oct 18. Epub 2018 Oct 18.

Division of Plastic and Reconstructive Surgery, University of Colorado School of Medicine, Aurora, CO. Electronic address:

Background: The radial approach to cardiac procedures has become increasingly common. Although previous studies have suggested a favorable risk profile, serious complications can occur. The purpose of this study is to examine the incidence, subsequent treatment, and outcome of all suspected significant neurovascular complications following transradial cardiac procedures at a large US hospital. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S08905096183080
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http://dx.doi.org/10.1016/j.avsg.2018.07.064DOI Listing
October 2018
10 Reads

Relative importance of attribute preferences for radial vs. femoral arterial access: A crowdsourcing study of healthy online-recruited volunteers.

Catheter Cardiovasc Interv 2018 Oct 20. Epub 2018 Oct 20.

Division of Cardiology, University of Illinois at Chicago, Chicago, Illinois.

Introduction: Percutaneous coronary intervention (PCI) is typically performed with vascular access provided by the radial or femoral artery. However, little is known about how patients value aspects of these different vascular access approaches.

Methods: Conjoint analysis is a survey-based statistical technique used in market research that helps determine how individuals value different attributes that make up a particular product or services. Read More

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http://dx.doi.org/10.1002/ccd.27941DOI Listing
October 2018

Anatomic Basis and Physiological Rationale of Distal Radial Artery Access for Percutaneous Coronary and Endovascular Procedures.

JACC Cardiovasc Interv 2018 Oct;11(20):2113-2119

Department of Cardiovascular Surgery, Center for Endosurgery and Lithotripsy, Moscow, Russian Federation.

Transradial access offers important advantages over transfemoral access, including overall increased procedure comfort and better outcomes. Still, complications of transradial access exist, with radial artery occlusion being the most clinically relevant one. Puncture sites in the hand allowing distal radial artery access have initially been described for anterograde angioplasty of occluded radial arteries and could represent a valuable alternative to traditional wrist puncture for radial artery catheterization. Read More

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http://dx.doi.org/10.1016/j.jcin.2018.04.045DOI Listing
October 2018

Efficacy and safety of a 260-cm Amplatz Super Stiff guidewire during transradial percutaneous coronary intervention.

Medicine (Baltimore) 2018 Oct;97(42):e12568

Department of Cardiology, State Key Laboratory of Organ Failure Research, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong.

Background: Although transradial percutaneous coronary intervention (TR-PCI) is widely used in clinical practice, guidewire-related complications are an important cause of transradial approach failure. We investigated the prognostic value of the 260-cm Amplatz Super Stiff guidewire for reducing the complication rate during TR-PCI.

Methods: Five hundred patients with positive Allen's test results were divided into 3 groups according to the type of angiography guidewire: group A, 150-cm Emerald guidewire standard J-tip (n = 160); group B, 150-cm Radifocus guidewire M (n = 176); and group C, exchangeable 260-cm Amplatz Super Stiff guidewire after placement of a 150-cm Radifocus guidewire M (n = 164). Read More

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http://dx.doi.org/10.1097/MD.0000000000012568DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6211875PMC
October 2018
9 Reads

Distal versus traditional radial approach for coronary angiography.

Cardiovasc Revasc Med 2018 Oct 2. Epub 2018 Oct 2.

Department of Cardiology, Aristoteleion University of Thessaloniki, Greece.

Purpose: The aim of this study was to evaluate the efficacy and safety of distal radial (DR) versus traditional radial (TR) approach during coronary angiography.

Methods: Two hundred patients scheduled to undergo transradial coronary angiography were randomized between the two approaches. Primary endpoint of the study was switching to another access site due to inability of successful target artery cannulation. Read More

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https://linkinghub.elsevier.com/retrieve/pii/S15538389183043
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http://dx.doi.org/10.1016/j.carrev.2018.09.018DOI Listing
October 2018
2 Reads

Hand Laser Perfusion Imaging to Assess Radial Artery Patency: A Pilot Study.

J Clin Med 2018 Oct 2;7(10). Epub 2018 Oct 2.

Division of Cardiology, Department of Medical and Surgical Sciences, Magna Graecia University, 88100 Catanzaro, Italy.

Objectives: To test a novel diagnostic technique to assess radial artery perfusion after transradial catheterization.

Background: Despite being mostly asymptomatic, radial artery occlusion (RAO) is not a benign complication, and its diagnosis is frequently missed because it requires time-consuming diagnostic testing. We developed a novel operator-independent diagnostic test to assess RAO after coronary procedures through a transradial access (TRA) by means of hand Laser Perfusion Imaging (LPI). Read More

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http://dx.doi.org/10.3390/jcm7100319DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6210442PMC
October 2018

Radial Artery Injury with Attempted Intravenous Catheterization on the Dorsal Hand: A Case Report.

Cureus 2018 Jul 23;10(7):e3033. Epub 2018 Jul 23.

Neurosurgery, Seattle Science Foundation, Seattle, USA.

Intravenous (IV) access on the dorsum of the hand is of high clinical significance. As it is possible for an arterial injury during IV access on the dorsum of the hand to occur, clinicians and healthcare providers should be cognizant of regional anatomy and anatomical variations during IV placement so as to prevent injuries to the radial artery. We report a case of an injury to the radial artery with an attempted hand IV placement in a cadaver and suggest possible ways to prevent this complication. Read More

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http://dx.doi.org/10.7759/cureus.3033DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6150753PMC

Effect of transient ulnar artery compression on radial artery diameter.

Exp Ther Med 2018 Oct 20;16(4):3735-3739. Epub 2018 Aug 20.

Department of Radiology, School of Medicine, Trakya University, Edirne 22030, Turkey.

The transradial approach is widely preferred in coronary procedures. A small radial artery diameter (RAD) is the most important factor affecting successful access. Various maneuvers and medications have been used to increase the RAD and thereby facilitate RA cannulation. Read More

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http://dx.doi.org/10.3892/etm.2018.6632DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6144021PMC
October 2018
2 Reads

Incidence and Clinical Course of Limb Dysfunction Post Cardiac Catheterization - A Systematic Review.

Circ J 2018 Oct 22;82(11):2736-2744. Epub 2018 Sep 22.

Keele Cardiovascular Research Group, Keele University.

Background: We systematically reviewed the available literature on limb dysfunction after transradial access (TRA) or transfemoral access (TFA) cardiac catheterization. Methods and Results: MEDLINE and EMBASE were searched for studies evaluating any transradial or transfemoral procedures and limb function outcomes. Data were extracted and results were narratively synthesized with similar treatment arms. Read More

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http://dx.doi.org/10.1253/circj.CJ-18-0389DOI Listing
October 2018
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The predictors of post-procedural arm pain after transradial approach in 1706 patients underwent transradial catheterization.

Cardiovasc Revasc Med 2018 Sep 11. Epub 2018 Sep 11.

The Duke Clinical Research Institute, Durham, NC, USA.

Background: Although patients prefer radial over femoral approach, some develop post-procedural arm pain after transradial procedures. This complication has been poorly defined in prior studies. We evaluated the extent of non-ischemic arm pain after transradial arterial access and identify variables that may be associated with this complication. Read More

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http://dx.doi.org/10.1016/j.carrev.2018.09.006DOI Listing
September 2018

The surgical anatomy of the superficial and deep palmar arches: A Meta-analysis.

J Plast Reconstr Aesthet Surg 2018 Nov 24;71(11):1577-1592. Epub 2018 Aug 24.

International Evidence-Based Anatomy Working Group, 12 Kopernika St., 31-034 Kraków, Poland; Department of Anatomy, Jagiellonian University Medical College, 12 Kopernika St., 31-034 Kraków, Poland. Electronic address:

Introduction: The following study aimed to find the pooled prevalence estimate of anatomical variations in the palmar vasculature, namely the superficial palmar arch (SPA) and the deep palmar arch (DPA). The importance of understanding the vasculature of the hand has become critical with the increasing use of hand microsurgery.

Methods: Major online medical databases (PubMed, EMBASE, ScienceDirect, and Web of Science) were extensively searched for terms pertaining to the SPA, the DPA, and their anatomy and variations. Read More

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http://dx.doi.org/10.1016/j.bjps.2018.08.014DOI Listing
November 2018

Radial vs femoral access for the prevention of acute kidney injury (AKI) after coronary angiography or intervention: A systematic review and meta-analysis.

Catheter Cardiovasc Interv 2018 Dec 23;92(7):E518-E526. Epub 2018 Sep 23.

Department of Cardiology, Bern University Hospital, University of Bern, Bern, Switzerland.

Objectives: We sought to investigate the impact of radial vs femoral access on the incidence of acute kidney injury (AKI) after coronary angiography or intervention.

Background: There is a growing recognition of the importance of access site selection as an adjudicative measure to mitigate the risk of renal impairment for patients with coronary artery disease undergoing angiography with or without percutaneous coronary intervention.

Methods: We conducted a systematic review of the literature and meta-analyzed available evidence comparing the rates of AKI with radial vs femoral access in patients undergoing coronary angiography or intervention. Read More

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http://dx.doi.org/10.1002/ccd.27903DOI Listing
December 2018
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Effect of hemostatic device on radial artery occlusion: A randomized comparison of compression devices in the radial hemostasis study.

Cardiovasc Revasc Med 2018 Dec 23;19(8):934-938. Epub 2018 Aug 23.

Department of Interventional Cardiology, Deborah Heart & Lung Center, United States of America.

Background: Asymptomatic radial artery occlusion (RAO) is a major limitation of transradial catheterization (TRC). Two radial compression hemostatic devices are compared for their respective effects on RAO.

Methods: In a prospective, randomized, single center, blinded trial, 320 patients were randomly treated with a TR band (Terumo Corporation) or Safeguard Radial (Merit Medical). Read More

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http://dx.doi.org/10.1016/j.carrev.2018.08.013DOI Listing
December 2018

Prone transradial catheterization for combined single-session endovascular and percutaneous interventions: approach, technical success, safety, and outcomes in 15 patients.

Diagn Interv Radiol 2018 Sep;24(5):276-282

Division of Vascular and Interventional Radiology, Department of Radiology, University of Michigan Health Systems, Ann Arbor, Michigan, USA.

Purpose: We aimed to report approach, safety, technical success, and clinical outcomes of prone trans- radial access (PTRA) and demonstrate feasibility for procedures requiring simultaneous arterial intervention and prone percutaneous access.

Methods: Fifteen patients underwent PTRA, seven females (47%) and eight males (53%), mean age of 55 years (range, 19-78 years). All patients underwent PTRA for combined transarterial and posterior-approach percutaneous interventions. Read More

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http://dx.doi.org/10.5152/dir.2018.18050DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6135051PMC
September 2018
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Left distal trans-radial access facilitates earlier discharge post-coronary angiography.

J Interv Cardiol 2018 Dec 5;31(6):964-968. Epub 2018 Sep 5.

Department of Cardiology, University Hospital Limerick, Limerick, Ireland.

Aims: In 2017, Kiemeneij published a paper on distal trans-radial artery access for coronary angiography in 62 patients. This paper proposed several advantages to this method. Since this paper was published, several other papers have been published describing this technique, with less than 200 cases in total described. Read More

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http://dx.doi.org/10.1111/joic.12559DOI Listing
December 2018
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Rumpel-Leede Phenomenon: Acute Dermal Capillary Rupture Complicating Radial Artery Cannulation.

JACC Cardiovasc Interv 2018 Sep 29;11(18):1900-1901. Epub 2018 Aug 29.

Schulich Heart Centre, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada. Electronic address:

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http://dx.doi.org/10.1016/j.jcin.2018.05.027DOI Listing
September 2018

Balloon aortic valvuloplasty via a bilateral trans-radial artery approach prior to transcatheter aortic valve replacement.

J Card Surg 2018 Oct 30;33(10):604-606. Epub 2018 Aug 30.

Department of Cardiology, Barwon Health, Geelong, Victoria, Australia.

Balloon aortic valvuloplasty (BAV) intervention is used as destination therapy or as a bridge to percutaneous or surgical aortic valve intervention. BAV is traditionally performed via a transfemoral approach; however, this may not be feasible in all patients due to peripheral vascular disease. We present a case of BAV performed via bilateral transradial access utilizing simultaneous deployment of two angioplasty balloons. Read More

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http://dx.doi.org/10.1111/jocs.13799DOI Listing
October 2018
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