3,230 results match your criteria Radial Artery Cannulation


Access Through the Anatomical Snuffbox for Neuroendovascular Procedures: A Single Institution Series.

Oper Neurosurg (Hagerstown) 2020 May 25. Epub 2020 May 25.

Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, Pennsylvania.

Background: Distal transradial catheterization in the anatomic snuffbox is an alternate route of access that has started to gain consideration for neuroendovascular procedures.

Objective: To assess the feasibility and outcomes and present our institution's experience in performing neuroendovascular procedures via distal transradial access (dTRA).

Methods: We conducted a retrospective analysis and identified 120 patients who underwent consecutive neuroendovascular procedures via dTRA in the anatomic snuffbox. Read More

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http://dx.doi.org/10.1093/ons/opaa141DOI Listing

The Use of Topical Nitroglycerin to Facilitate Radial Arterial Catheter Insertion in Children: A Randomized Controlled Trial.

J Cardiothorac Vasc Anesth 2020 Apr 29. Epub 2020 Apr 29.

Department of Anesthesia and Critical Care Medicine, Cairo University, Cairo, Egypt.

Objectives: To determine whether the use of topical nitroglycerin patch increases radial artery diameter and facilitate cannulation in children.

Design: Randomized controlled trial.

Setting: Cairo University Hospital. Read More

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http://dx.doi.org/10.1053/j.jvca.2020.04.035DOI Listing

Cost-effectiveness and Outcomes with Early or Same-Day Discharge After Elective Percutaneous Coronary Intervention.

Curr Cardiol Rep 2020 May 19;22(6):42. Epub 2020 May 19.

Division of Cardiology, Department of Internal Medicine, University of Tennessee Health Sciences Center, Memphis, TN, USA.

Purpose Of Review: Shorter hospital stay after percutaneous coronary intervention (PCI) can provide economic advantage. Same-day discharge (SDD) after transradial PCI is thought to reduce the cost of care while maintaining the quality and safety. This review summarizes the current knowledge of the benefits and safety of this concept. Read More

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http://dx.doi.org/10.1007/s11886-020-01286-1DOI Listing

Outcomes of Cardiac Catheterization in Patients With Atrial Fibrillation on Anticoagulation in Contemporary in Practice: An Analysis of the ORBIT II Registry.

Circ Cardiovasc Interv 2020 May 15;13(5):e008274. Epub 2020 May 15.

Duke Clinical Research Institute, Durham, NC (J.P.P., D.N.H., R.B., E.D.P., S.V.R.).

Background: Patients with atrial fibrillation on oral anticoagulation (OAC) undergoing cardiac catheterization face risks for embolic and bleeding events, yet information on strategies to mitigate these risks in contemporary practice is lacking.

Methods: We aimed to describe the clinical/procedural characteristics of a contemporary cohort of patients with atrial fibrillation on OAC who underwent cardiac catheterization. Use of bleeding avoidance strategies and bridging therapy were described and outcomes including death, stroke, and major bleeding at 30 days and 1 year were compared by OAC type. Read More

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http://dx.doi.org/10.1161/CIRCINTERVENTIONS.119.008274DOI Listing
May 2020
6.218 Impact Factor

Transradial access for diagnostic angiography and interventional neuroradiology procedures: A four-year single-center experience.

Interv Neuroradiol 2020 May 14:1591019920925711. Epub 2020 May 14.

Department of Interventional Neuroradiology, Hospital Universitari de Bellvitge, Fundació Institut d'Investigació Biomèdica de Bellvitge (IDIBELL), L'Hospitalet de Llobregat, Barcelona, Spain.

Purpose: The objective of this study was to assess the efficacy and safety of transradial access for diagnostic angiography and interventional neuroradiology procedures.

Methods: This was a retrospective analysis of a single-center experience based on 225 patients attended between August 2015 and October 2019, in which transradial access was used for diagnostic angiography and endovascular interventions. Ultrasound-guided access was done at the level of the forearm or anatomical or snuffbox (distal transradial access). Read More

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http://dx.doi.org/10.1177/1591019920925711DOI Listing

Safety and feasibility of the distal transradial approach: A novel technique for diagnostic cerebral angiography.

Interv Neuroradiol 2020 May 13:1591019920925709. Epub 2020 May 13.

Department of Neurosurgery, Brain Research Institute, Niigata University, Niigata, Japan.

Purpose: We aimed to evaluate the safety and feasibility of the distal transradial approach (DTRA) as a novel technique for cerebral angiography based on our institutional initial experience.

Methods: We retrospectively analyzed our institutional database of consecutive diagnostic cerebral angiographies performed with DTRA from December 2018 to August 2019. Patient demographics and clinical and procedural data were recorded. Read More

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http://dx.doi.org/10.1177/1591019920925709DOI Listing

Efficacy of ultrasound-guided technique for radial artery catheterization in pediatric populations: a systematic review and meta-analysis of randomized controlled trials.

Crit Care 2020 May 6;24(1):197. Epub 2020 May 6.

Department of Ultrasound, Liaocheng People's Hospital, Liaocheng City, Shandong Province, China.

Background: The use of an ultrasound-guided technique for radial arterial catheterization has not been well established in pediatric patients. We conducted a systematic review and meta-analysis to evaluate the efficacy of the ultrasound-guided technique for radial artery catheterization in pediatric populations.

Method: A systematic review of PubMed, Medline, Embase, and the Cochrane library was performed from their date of inception to December 2019. Read More

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http://dx.doi.org/10.1186/s13054-020-02920-8DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7201726PMC

EffectivenesS of additional x-ray PRotection dEviceS in reducing Scattered radiation in radial interventiOn: the ESPRESSO randomized trial.

EuroIntervention 2020 Apr 28. Epub 2020 Apr 28.

Kardiologie I Universitätsmedizin Mainz and DZHK Standort Rhein-Main, Germany.

Aims: We examine the impact of three different radiation protection devices in a real-world setting of radial artery catheterization.

Methods And Results: In an all-comer randomized trial, consecutive coronary radial diagnostic and intervention procedures were assigned in 1:1:1 ratio to shield-only protection (shield group), shield and overlapping 0.5mm Pb panel curtain (shield+curtain group) or shield, curtain and additional 75x40cm, 0. Read More

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http://dx.doi.org/10.4244/EIJ-D-19-00945DOI Listing

Prevalence of Perforated Graft in Underlay and Pop-in Technique Myringoplasty.

JNMA J Nepal Med Assoc 2019 Nov-Dec;57(220):420-423

Samaj Dental Hospital, Baneshwor, Kathmandu, Nepal.

Introduction: The radial artery is commonly originated from the brachial artery in the cubital fossa at the level of the neck of the radius. It is the artery of choice for coronary artery angiography, percutaneous coronary artery intervention, cannulation, and others. Radial artery anomalies like high origin, tortuosity, and accessory branches are associated with the failure of such procedures. Read More

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Short durations of radial hemostatic device post diagnostic transradial cardiac catheterization- The PRACTICAL-2 randomized trial.

Can J Cardiol 2020 Apr 23. Epub 2020 Apr 23.

London Health Sciences Centre, London, Ontario, Canada; Department of Medicine, Western University, London, Ontario, Canada.

Background: Radial artery occlusion (RAO) is the most common complication following transradial approach (TRA) for cardiac catheterization. Our aim was to assess if decreasing radial hemostatic device (RHD) time reduces the risk of RAO among individuals receiving small sheath sizes with no adjunctive heparin.

Methods: We randomized 450 individuals undergoing diagnostic cardiac catheterization via the TRA to 3 durations of RHD time: 10, 20 or 30 minutes. Read More

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http://dx.doi.org/10.1016/j.cjca.2020.04.017DOI Listing

Randomized Trial of Radial Hemostasis Using Focused vs Balloon Compression Devices.

J Invasive Cardiol 2020 May 24;32(5):169-174. Epub 2020 Apr 24.

Gagnon Cardiovascular Institute, Morristown Medical Center, 100 Madison Ave, Morristown, NJ 07960 USA.

Background: Radial artery hemostasis devices differ in compression mechanisms, which may influence time to hemostasis and hand perfusion.

Methods: Subjects (n = 52) undergoing transradial diagnostic coronary catheterization or percutaneous coronary intervention (PCI) were randomized 1:1 to either focused compression (VasoStat; Forge Medical) or balloon compression device (TR Band; Terumo Medical) for radial artery hemostasis. Time to complete hemostasis enabling device removal was measured in each subject. Read More

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Navigating a proximal loop in the radial artery and avoiding the recurrent radial artery.

J Neurointerv Surg 2020 Apr 21. Epub 2020 Apr 21.

Department of Neurosurgery, Jacobs School of Medicine and Biomedical Sciences, University at Buffalo, Buffalo, New York, USA

Several anatomical variations of the radial artery have been described in the literature. Common variations include radial artery loop, recurrent branch, and anastomotic channels connecting the radial and brachial arteries. These variations can pose significant technical challenges to safe radial artery catheterization. Read More

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http://dx.doi.org/10.1136/neurintsurg-2019-015712DOI Listing

Necrotizing Fasciitis Causing Acute Compartment Syndrome after Radial Artery Catheterization.

Eur J Case Rep Intern Med 2020 27;7(4):001525. Epub 2020 Feb 27.

Serviço de Medicina Interna, Centro Hospitalar e Universitário de Coimbra, Coimbra, Portugal.

Necrotizing fasciitis is a rare but potentially fatal infection involving the subcutaneous tissue and fascia with the development of necrosis of these structures. Acute compartment syndrome occurs when increased pressure within a closed muscle compartment compromises the circulation and function of the tissues within that space. We report the case of a male patient who was admitted to the intensive care unit for the management of urosepsis due to an acute obstructive pyelonephritis complicated by cardiopulmonary arrest. Read More

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http://dx.doi.org/10.12890/2020_001525DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7162573PMC
February 2020

Subcutaneous Nitroglycerin for Radial Arterial Catheterization in Pediatric Patients: A Randomized Controlled Trial.

Anesthesiology 2020 Apr 9. Epub 2020 Apr 9.

From the Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul, Republic of Korea (Y.-E.J., S.-H.J., E.-H.K., J.-H.L.) the Department of Anesthesiology and Pain Medicine, Seoul National University Hospital, Seoul National University College of Medicine, Seoul, Republic of Korea (H.-S.K., J.-T.K.) the Division of Pediatric Cardiovascular Anesthesia, Baylor College of Medicine, Texas Children's Hospital, Houston, Texas (E.B.M.).

Background: Pediatric radial artery cannulation is challenging because of the small vessel size. Nitroglycerin is a potent vasodilator and facilitates radial artery cannulation by increasing the internal diameter and preventing the vasospasm in adult patients. The authors hypothesize that subcutaneous nitroglycerin injection will improve the success rate of pediatric radial artery cannulation. Read More

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http://dx.doi.org/10.1097/ALN.0000000000003308DOI Listing

Radial Artery Cannulation in Young Children: Comment.

Anesthesiology 2020 Jun;132(6):1605

The Children's Hospital of Philadelphia, Perelman School of Medicine at the University of Pennsylvania, Philadelphia, Pennsylvania (S.A.H.).

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http://dx.doi.org/10.1097/ALN.0000000000003273DOI Listing

Radial Artery Cannulation in Young Children: Comment.

Anesthesiology 2020 Jun;132(6):1606-1607

Radboud University Medical Center, Nijmegen, The Netherlands (C.S.).

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http://dx.doi.org/10.1097/ALN.0000000000003271DOI Listing

Radial Artery Cannulation in Young Children: Comment.

Anesthesiology 2020 Jun;132(6):1605-1606

Peter Munk Cardiac Centre, Toronto General Hospital, University Health Network, University of Toronto, Toronto, Canada.

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http://dx.doi.org/10.1097/ALN.0000000000003272DOI Listing

Radial Artery Cannulation in Young Children: Reply.

Anesthesiology 2020 Jun;132(6):1607-1609

Beijing YouAn Hospital, Capital Medical University, Beijing, China (Z.Q.).

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http://dx.doi.org/10.1097/ALN.0000000000003275DOI Listing

Right ventricular mechanical pattern in patients undergoing mitral valve surgery: a predictor of post-operative dysfunction?

ESC Heart Fail 2020 Jun 26;7(3):1246-1256. Epub 2020 Mar 26.

Heart and Vascular Center, Semmelweis University, Budapest, Hungary.

Aims: The PREPARE-MVR study (PRediction of Early PostoperAtive Right vEntricular failure in Mitral Valve Replacement/Repair patients) sought to investigate the alterations of right ventricular (RV) contraction pattern in patients undergoing mitral valve replacement/repair (MVR) and to explore the associations between pre-operative RV mechanics and early post-operative RV dysfunction (RVD).

Methods And Results: We prospectively enrolled 42 patients (63 ± 11 years, 69% men) undergoing open-heart MVR. Transthoracic three-dimensional (3D) echocardiography was performed pre-operatively, at intensive care unit discharge, and 6 months after surgery. Read More

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http://dx.doi.org/10.1002/ehf2.12682DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7261576PMC

Comparison of Ultrasound-Guided Vs Traditional Arterial Cannulation by Emergency Medicine Residents.

West J Emerg Med 2020 Feb 26;21(2):353-358. Epub 2020 Feb 26.

Johns Hopkins Hospital, Department of Emergency Medicine, Baltimore, Maryland.

Introduction: We sought to determine whether ultrasound-guided arterial cannulation (USGAC) is more successful than traditional radial artery cannulation (AC) as performed by emergency medicine (EM) residents with standard ultrasound training.

Methods: We identified 60 patients age 18 years or older at a tertiary care, urban academic emergency department who required radial AC for either continuous blood pressure monitoring or frequent blood draws. Patients were randomized to receive radial AC via either USGAC or traditional AC. Read More

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http://dx.doi.org/10.5811/westjem.2019.12.44583DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7081869PMC
February 2020

Plaque herniation after stenting the culprit lesion with myocardial bridging in ST elevation myocardial infarction: A case report.

World J Cardiol 2020 Feb;12(2):91-96

Division of Cardiology, Theresa and Eugene M. Lang Center for Research and Education, New York Presbyterian - Queens Hospital, Flushing, NY 11355, United States.

Background: Myocardial bridging (MB) is increasingly recognized to stimulate atherogenesis, which may contribute to an acute coronary syndrome. Stenting the coronary segment with MB has been recognized to have an increased risk of in-stent restenosis, stent fracture and coronary perforation. The safety and efficacy of stenting the culprit lesion with overlaying MB in ST elevation myocardial infarction (STEMI) as primary reperfusion therapy has not been established. Read More

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http://dx.doi.org/10.4330/wjc.v12.i2.91DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7061264PMC
February 2020

Impact of dedicated hemostasis device for distal radial arterial access with an adequate hemostasis protocol on radial arterial observation by ultrasound.

Cardiovasc Interv Ther 2020 Mar 12. Epub 2020 Mar 12.

Division of Cardiology, Department of Internal Medicine, Tokai University School of Medicine, Isehara, Japan.

There is no established hemostasis method or protocol for the transdistal radial approach. Therefore, this study aimed to determine whether "the PreludeSYNC DISTAL" radial compression device (PSD; Merit Medical Systems, Inc., South Jordan, UT) can effectively prevent distal radial artery (dRA) occlusion following catheterization procedures. Read More

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http://dx.doi.org/10.1007/s12928-020-00656-4DOI Listing

Comparison of Minimum Pressure and Patent Hemostasis on Radial Artery Occlusion After Transradial Catheterization.

J Invasive Cardiol 2020 Apr 11;32(4):147-152. Epub 2020 Mar 11.

Instituto de Cardiologia de Santa Catarina, Rua Adolfo Donato da Silva, s/n. Praia Comprida, São José, Santa Catarina. CEP 88103-901.

Objectives: The aim of this study was to compare two hemostatic techniques, minimum pressure technique and patent hemostasis, on radial artery occlusion (RAO) after transradial catheterization.

Background: RAO is an infrequent complication of transradial procedures. One of the strategies used to reduce this complication is the patent hemostasis technique. Read More

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Transradial Versus Transfemoral Approach for Coronary Angiography in Females with Prior Bypass Surgery.

Cureus 2020 Jan 28;12(1):e6797. Epub 2020 Jan 28.

Cardiology, Marshall University, Huntington, USA.

Background Multiple studies have shown that trans-radial access (TRA) for women undergoing coronary angiography/intervention (CA/I) has a lower risk of vascular access site complications as compared with trans-femoral access (TFA). In patients who had previously undergone coronary artery bypass grafting (CABG), studies also showed no significant difference between TRA and TFA in terms of contrast amount (CA), procedure time (PT), and fluoroscopy time (FT). However, those studies mainly included men. Read More

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http://dx.doi.org/10.7759/cureus.6797DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7045992PMC
January 2020

Transradial access through the anatomical snuffbox: Results of a feasibility study.

Hellenic J Cardiol 2020 Mar 2. Epub 2020 Mar 2.

Department of Cardiology, University Hospital of Patras, Greece.

Background: Distal transradial access (dTRA), through the anatomical snuffbox (AS) of the hand, is a novel, potentially beneficial, vascular access for patients undergoing coronary procedures.

Method: Consecutive patients with an indication for coronary angiography and/or percutaneous coronary intervention (PCI) were enrolled in our tertiary center, from November 2018 to March 2019. The success rate of the procedure, the incidence of local complications, the time required for hemostasis, and the incidence of radial artery occlusion (RAO) were evaluated. Read More

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http://dx.doi.org/10.1016/j.hjc.2020.02.002DOI Listing

[Factors Contributing Successful Ultrasound-guided Radial Artery Cannulation and Its Complications When Using the Short-axis Out-of-plane Procedure].

Zhongguo Yi Xue Ke Xue Yuan Xue Bao 2020 Feb;42(1):86-90

Department of Anesthesiology, PUMC Hospital,CAMS and PUMC,Beijing 100730,China.

To identify the possible factors that may influence the success and the complications of ultrasound-guided out-of-plane radial arterial cannulation. Multivariate Logistic regression analysis was used to analyze the clinical data of 131 patients undergoing elective surgery and ultrasound-guided out-of-plane radial artery cannulation,dynamic needle tip positioning(DNTP) technique or angular distance(AD) technique and to find out the factors associated with the one-attempt success rate,overall success rate,posterior arterial wall perforation,and local hematoma. The depth of the anterior arterial wall≥3 mm was the factor associated with posterior arterial wall perforation(=0. Read More

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http://dx.doi.org/10.3881/j.issn.1000-503X.11617DOI Listing
February 2020

[Radial artery occlusion ofter coronarography: is it really a problem?]

Ann Cardiol Angeiol (Paris) 2020 Mar 29;69(1):46-50. Epub 2020 Feb 29.

Institut cardiovasculaire, groupe hospitalier mutualiste de Grenoble, Grenoble, France.

The use of transradial access for cardiac procedures has increased worldwide over the past two decades. Despite the many advantages this technique offers, there remains some concern that radial artery occlusion, a potential complication of radial cannulation, might lead to significant ischemic sequelae in the hand. This paper reviews the major causes, its possible consequences and the strategies for its prevention and treatment. Read More

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http://dx.doi.org/10.1016/j.ancard.2020.01.006DOI Listing

Advances in trans-ulnar intervention: a successful trans-ulnar artery approach for left subclavian artery stenosis.

Future Cardiol 2020 May 3;16(3):165-169. Epub 2020 Mar 3.

Department of Cardiovascular Disease, Interventional Cardiology, Mount Sinai Heart at Mount Sinai Beth Israel, New York, NY 10003, USA.

Techniques for vascular intervention have been evolving in the past decades. Trans-radial artery access (TRA) has been emerging and is favorable over trans-femoral access in recent years due to the lower risk of bleeding complications, vascular injury, early mobilization, shorter hospitalization and lesser cost. TRA has its own limitations such as radial artery stenosis, dissection, spasm and crossover. Read More

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http://dx.doi.org/10.2217/fca-2018-0080DOI Listing

Feasibility of primary percutaneous coronary intervention via the distal radial approach in patients with ST-elevation myocardial infarction.

Korean J Intern Med 2020 Mar 3. Epub 2020 Mar 3.

Division of Cardiology, Department of Internal Medicine, Chonnam National University Hospital, Gwangju, Korea.

Background/aims: Recently, distal radial approach (DRA), called as snuffbox approach, has gained the interest of interventional cardiologists, but there is a lack of data about the feasibility of DRA as an alternative route for primary percutaneous coronary intervention (PCI).

Methods: A total of 138 patients presenting with ST-elevation myocardial infarction (STEMI) in whom primary PCI via the DRA was attempted at three hospitals from October 2017 to September 2019 were analyzed.

Results: The success rate of snuffbox puncture in the setting of STEMI was 92. Read More

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http://dx.doi.org/10.3904/kjim.2019.420DOI Listing

Diagnostic Challenge in a Symptomatic Patient of Arteria Lusoria with Retro-esophageal Right Subclavian Artery and Absent Brachiocephalic Trunk.

Cureus 2020 Feb 18;12(2):e7029. Epub 2020 Feb 18.

Cardiology, Erlanger Health System/UT College of Medicine, Chattanooga, USA.

A combination of absent brachiocepahlic trunk and anomalous left circumflex artery with a retro-esophageal right subclavian artery is an extremely rare finding. This can clinically manifest as episodic dysphagia and chest pain. Routine coronary angiography via femoral access could be misleading and right radial access in such cases can be particularly challenging and has never been reported in literature before. Read More

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http://dx.doi.org/10.7759/cureus.7029DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7029822PMC
February 2020

Association of adoption of transradial access for percutaneous coronary intervention in ST elevation myocardial infarction with door-to-balloon time.

Catheter Cardiovasc Interv 2020 Feb 27. Epub 2020 Feb 27.

Heart and Vascular Institute Center for Healthcare Delivery Innovation, Cleveland Clinic, Cleveland, Ohio.

Objectives: We aimed to study adoption of transradial primary percutaneous coronary intervention (TR-PPCI) for ST elevation myocardial infarction (STEMI) ("radial first" approach) and its association with door-to-balloon time (D2BT).

Background: TR-PPCI for STEMI is underutilized in the United States due to concerns about prolonging D2BT. Whether operators and hospitals adopting a radial first approach in STEMI incur prolonged D2BT is unknown. Read More

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http://dx.doi.org/10.1002/ccd.28785DOI Listing
February 2020

Comparison of Mill Suss™-guided radial artery catheterization with the long-axis in-plane ultrasound-guided method under general anesthesia: a randomized controlled trial.

J Anesth 2020 Jun 24;34(3):464-467. Epub 2020 Feb 24.

Department of Anesthesiology, Sapporo Medical University School of Medicine, South 1, West 16, Chuo-ku, Sapporo, Hokkaido, 060-8543, Japan.

Continuous arterial blood pressure measurement is an effective perioperative monitoring method in patients with high-risk comorbidities. Recently, ultrasound guidance has been reported to facilitate radial artery catheterization. A new device, Mill Suss™, has also been developed for visualization of the radial artery and superficial veins using near-infrared laser light. Read More

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http://dx.doi.org/10.1007/s00540-020-02749-zDOI Listing

Description of Technique and Short-Term Outcomes of Radial Artery Access for Vascular Disease.

Vasc Endovascular Surg 2020 May 21;54(4):319-324. Epub 2020 Feb 21.

Vascular Center, University of Maryland Baltimore Washington Medical Center, Glen Burnie, MD, USA.

Objectives: Radial artery access is widely utilized in coronary angiography with reported lower rates of vascular complications and better patient comfort. There is limited data in the literature regarding radial access in peripheral endovascular procedures. We hypothesize that radial access is safe and feasible for peripheral endovascular procedures. Read More

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http://dx.doi.org/10.1177/1538574420906942DOI Listing

Distal arteriovenous fistula formation after percutaneous coronary intervention: An old complication of a new access site.

Catheter Cardiovasc Interv 2020 Feb 7. Epub 2020 Feb 7.

North Florida Regional Medical Center, University of Central Florida, Gainesville, Florida.

Dorsal or distal transradial artery access has recently gained popularity due to several perceived benefits that include favorable ergonomics, the potential for rapid hemostasis and lower rates of vascular complications. Still, no vascular access site is free of complications and reports of hematoma and pseudoaneurysm formation related to distal radial artery access have been reported in the literature. We present a case of a 71-year-old male who developed an arteriovenous fistula (AVF) involving the distal left radial artery following repeated access of the artery. Read More

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http://dx.doi.org/10.1002/ccd.28772DOI Listing
February 2020

Radial Arterial Access for Thoracic Intraoperative Spinal Angiography in the Prone Position.

World Neurosurg 2020 May 4;137:e358-e365. Epub 2020 Feb 4.

Section of Neurointerventional Radiology, Department of Radiology, New York University School of Medicine, New York, New York, USA. Electronic address:

Background: Verification of complete occlusion or resection of neurovascular lesions is often performed using intraoperative angiography. Surgery for spinal vascular lesions such as arteriovenous malformations (AVMs) and arteriovenous fistulas (AVFs) is typically performed with the patient in the prone position, making intraoperative angiography difficult. No standardized protocol is available for intraoperative angiography during spinal surgery with the patient in the prone position. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.01.208DOI Listing

Pseudoaneurysm: a rare complication of distal transradial access in the anatomical snuffbox.

CVIR Endovasc 2019 Jun 29;2(1):21. Epub 2019 Jun 29.

Department of Radiology, George Washington University, 900 23rd St NW, Washington, DC, 20037, USA.

Background: This report presents a case of distal radial artery pseudoaneurysm following cardiac catheterization and its successful endovascular management. Due to its novelty as a catheterization site, few to no reports exist regarding the complications associated with distal radial access.

Case Presentation: A patient presented to the emergency department with severe wrist and hand swelling 48 h after successful cardiac catheterization via distal radial artery access. Read More

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http://dx.doi.org/10.1186/s42155-019-0064-2DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6966357PMC

Systemic Arterial Stiffness in New Diagnosed Idiopathic Pulmonary Arterial Hypertension Patients.

Vasc Health Risk Manag 2020 16;16:29-39. Epub 2020 Jan 16.

Secondary Hypertension Department, State Institution "National Scientific Center "Institute of Cardiology Named After acad.M.D.Strazhesko" of Ukrainian National Academy of Medical Science, Kyiv, Ukraine.

Objective: We suggested: 1) patients with idiopathic pulmonary hypertension (IPAH) have active factors which could damage not only the pulmonary but systemic arteries too as in arterial hypertensive patients; 2) if these changes were present, they might correlate with other parameters influencing on the prognosis. This study is the first attempt to use cardio-ankle vascular index (CAVI) for the evaluation of systemic arterial stiffness in patients with IPAH.

Methods: A total of 112 patients were included in the study: group 1 consisted of 45 patients with new diagnosed IPAH, group 2 included 32 patients with arterial hypertension, and in the control group were 35 healthy persons adjusted by age. Read More

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http://dx.doi.org/10.2147/VHRM.S230041DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6971813PMC
February 2020

Pseudo-arterial Temporary Hemodialysis Catheter Placement in the Left Internal Jugular Vein Ipsilateral to a Preexisting Brachio-axillary Arteriovenous Graft.

Indian J Nephrol 2020 Jan-Feb;30(1):29-31. Epub 2019 Dec 27.

The Robert Larner, M.D. College of Medicine, Department of Medicine, University of Vermont, Burlington, VT, UK.

Internal jugular vein (IJV) cannulation was originally described by English . in 1969 as the safest approach. Carotid artery puncture had an incidence rate of 4-6% before ultrasound guidance. Read More

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http://dx.doi.org/10.4103/ijn.IJN_389_18DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6977375PMC
December 2019

Catheter directed diagnosis of ST-segment elevation myocardial infarction induced by type A aortic dissection: A case report.

Medicine (Baltimore) 2020 Jan;99(3):e18796

Division of Interventional Cardiology, Cardiovascular Center, Taichung Veterans General Hospital, Taichung.

Rationale: Type A aortic dissection (TAAD) is a life-threatening disorder yet it is hard to diagnose. The dissection might extend to the coronary artery causing ST-segment elevation myocardial infarction (STEMI). Physicians might not recognize this particularly early in its presentation and patients proceed to receive the primary percutaneous coronary intervention. Read More

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http://dx.doi.org/10.1097/MD.0000000000018796DOI Listing
January 2020

Distal radial artery access in the anatomical snuffbox for coronary angiography and intervention: A single center experience.

Medicine (Baltimore) 2020 Jan;99(3):e18330

Department of Cardiology, The Second Affiliated Hospital of Zhejiang Chinese Medical University.

Background: To explore the feasibility and safety of coronary angiography (CAG) and percutaneous coronary intervention (PCI) via the distal radial artery in the anatomical snuffbox.

Methods: Ninety two patients who underwent CAG or PCI through distal radial artery access at The Second Affiliated Hospital of Zhejiang Chinese Medical University from September 2017 to March 2018 were included in our study. We collected baseline characteristics, number, and duration of arterial punctures, procedural success rate, postoperative compression time, the numerical rating scale (NRS) scores at 3 hours after procedure, complications, hospitalization duration. Read More

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http://dx.doi.org/10.1097/MD.0000000000018330DOI Listing
January 2020

Radial artery access site complications during cardiac procedures, clinical implications and potential solutions: The role of nitric oxide.

World J Cardiol 2020 Jan;12(1):26-34

Department of Cardiology, NHS Highland, Inverness IV2 3UJ, United Kingdom.

Percutaneous coronary intervention for the treatment of coronary artery disease is most commonly performed in the UK through the radial artery, as this is safer than the femoral approach. However, despite improvements in technology and techniques, complications can occur. The most common complication, arterial spasm, can cause intense pain and, in some cases, procedural failure. Read More

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http://dx.doi.org/10.4330/wjc.v12.i1.26DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6952722PMC
January 2020

Comparison of 4-French versus 5-French sheaths for diagnostic coronary angiography via the snuffbox approach.

Cardiol J 2020 Jan 21. Epub 2020 Jan 21.

Chonnam National University Hospital, Gwangju, Republic of Korea.

Background: Although a shorter hemostasis duration would be expected when compared with the conventional radial approach as the diameter of the distal radial artery is smaller than that of the conventional radial artery, the optimal duration of hemostasis in diagnostic coronary angiography (CAG) via the distal radial approach, termed the snuffbox approach, has not been well investigated.

Methods: Data from 171 patients were retrospectively collected (55 and 116 patients in the 4-French [Fr] and 5-Fr sheath groups, respectively). The patients had suspected myocardial ischemia and were undergoing diagnostic CAG via the snuffbox approach at a single center between January 2019 and August 2019. Read More

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http://dx.doi.org/10.5603/CJ.a2020.0003DOI Listing
January 2020

Initial Experience with Transradial Access for Cerebrovascular Procedures: Is It Feasible and Safe?

World Neurosurg 2020 Apr 17;136:e593-e600. Epub 2020 Jan 17.

Institute for Diagnostic and Interventional Neuroradiology, University Hospital Goettingen, Goettingen, Germany; Department of Neuroradiology, Clinic of Radiology and Nuclear Medicine, University Hospital Basel, Basel, Switzerland.

Background: Despite the proven benefit of transradial access over transfemoral access in cardiac procedures, the transition for cerebrovascular procedures has only been slowly enforced. We present our experience with transradial access in cerebral diagnostic angiographies and neurointerventional procedures.

Methods: We performed a retrospective analysis of patients who underwent transradial access for cerebrovascular procedures in 3 German centers between February 2017 and May 2019. Read More

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http://dx.doi.org/10.1016/j.wneu.2020.01.078DOI Listing

Distal Radial and Ulnar Arteries: the Alternative Forearm Access.

Curr Treat Options Cardiovasc Med 2020 Jan 15;22(1). Epub 2020 Jan 15.

College of Medicine, Penn State Heart & Vascular Institute, M.S. Hershey Medical Center, Pennsylvania State University, 500 University Drive, C1517, Hershey, PA, 17033, USA.

Purpose Of Review: Radial artery access for catheter-based procedures has demonstrated improved margins of safety and patient comfort without a loss of efficacy compared with femoral access. Unfortunately, radial access is not always available, so a review of the alternatives such as the ulnar artery and distal radial artery has been completed to understand alternative access sites that may preserve the benefits of distal forearm access without losing the efficacy of traditional transradial access.

Recent Findings: Several different trials have demonstrated the utility of ulnar access as a possible workhorse access point. Read More

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http://dx.doi.org/10.1007/s11936-020-0801-9DOI Listing
January 2020

Acute Upper-Limb Complications Following Radial Artery Catheterization for Coronary Angiography.

J Hand Surg Am 2020 Jan 7. Epub 2020 Jan 7.

Department of Plastic Surgery, Mayo Clinic, Rochester, MN. Electronic address:

Purpose: The radial artery is becoming the vessel of choice for performing cardiac catheterization. Transradial catheterization can impose risks on the upper extremity, and hand surgeons should be aware of the most frequent complications. The purpose of this study was to determine the frequency, timing, and scope of upper-limb complications shortly after transradial catheterization. Read More

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http://dx.doi.org/10.1016/j.jhsa.2019.11.007DOI Listing
January 2020

Exercise-induced vasodilation is not impaired following radial artery catheterization in coronary artery disease patients.

J Appl Physiol (1985) 2020 Feb 9;128(2):422-428. Epub 2020 Jan 9.

Research Institute for Sport and Exercise Science, Liverpool John Moores University, Liverpool, United Kingdom.

Diagnosis and treatment for coronary artery disease (CAD) often involves angiography and/or percutaneous coronary intervention. However, the radial artery catheterization required during both procedures may result in acute artery dysfunction/damage. While exercise-based rehabilitation is recommended for CAD patients following catheterization, it is not known if there is a period when exercise may be detrimental due to catheter-induced damage. Read More

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http://dx.doi.org/10.1152/japplphysiol.00695.2019DOI Listing
February 2020

Modified long-axis in-plane ultrasound technique versus conventional palpation technique for radial arterial cannulation: A prospective randomized controlled trial.

Medicine (Baltimore) 2020 Jan;99(2):e18747

Public Technology Service Center of Fujian Medical University, Fujian Medical University, Fuzhou, Fujian Province, China.

Background: A low first-pass success rate of radial artery cannulation was obtained when using the conventional palpation technique (C-PT) or conventional ultrasound-guided techniques, we; therefore, evaluate the effect of a modified long-axis in-plane ultrasound technique (M-LAINUT) in guiding radial artery cannulation in adults.

Methods: We conducted a prospective, randomized and controlled clinical trial of 288 patients undergoing radial artery cannulation. Patients were randomized 1:1 to M-LAINUT or C-PT group at Fujian Medical University Union Hospital between 2017 and 2018. Read More

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http://dx.doi.org/10.1097/MD.0000000000018747DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC6959944PMC
January 2020

Two HEmostasis Methods After TransradIal Catheterization: THEMATIC Randomized Clinical Trial.

J Cardiovasc Nurs 2020 Mar/Apr;35(2):217-222

Simone Marques dos Santos, MSc, RN Nurse, Cardiology Division, Hospital de Clínicas de Porto Alegre, Brazil. Rodrigo Vugman Wainstein, MD, ScD Associate Staff, Division of Cardiology, Hospital de Clínicas de Porto Alegre; and Cardiology and Cardiovascular Sciences Graduate Program, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil. Felipe Homem Valle, MD, MSc Interventional Cardiology Fellow, Terrence Donnelly Heart Centre, Saint Michael's Hospital, University of Toronto; and Division of Cardiology, Mount Sinai Hospital/University Health Network, Toronto, Ontario, Canada. Camille Lacerda Corrêa, RN Nurse, School of Nursing, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil. Graziella Badin Aliti, ScD, RN Associate Professor, School of Nursing, Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil. Karen Brasil Ruschel, ScD, RN Postdoctoral Student, National Institute of Science and Technology for Health Technology Assessment, CNPq, Distrito Federal, Brasilia. Sandro Cadaval Gonçalves, MD, ScD Associate Staff, Division of Cardiology, Hospital de Clínicas de Porto Alegre, Brazil. Marco Vugman Wainstein, MD, ScD Assistant Professor, Cardiology and Cardiovascular Sciences Graduate Program, Department of Medicine, Universidade Federal do Rio Grande do Sul, Porto Alegre; and Division of Cardiology, Hospital de Clínicas de Porto Alegre, Brazil. Eneida Rejane Rabelo-Silva, ScD, RN Associate Professor, Graduate Program in Cardiology - Cardiovascular Sciences and Graduate Program of Nursing, School of Nursing, Universidade Federal do Rio Grande do Sul, Porto Alegre; and Cardiology Division and Vascular Access Program, Hospital de Clinicas de Porto Alegre, Brazil.

Objective: The aim of this study was to compare the effect of 2 hemostasis devices on the incidence of radial artery occlusion (RAO) after transradial cardiac catheterization.

Background: Radial artery occlusion is the most prevalent ischemic complication after radial artery catheterization. There is still no predictive pattern of vessel patency assessment, and the comparative effectiveness of different hemostasis techniques has yet to be established. Read More

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http://dx.doi.org/10.1097/JCN.0000000000000639DOI Listing
January 2020