3,456 results match your criteria Radial Artery Cannulation


True Idiopathic Radial Artery Aneurysm: A Case Report and Review of Current Literature.

EJVES Vasc Forum 2020 21;49:34-39. Epub 2020 Nov 21.

Department of Surgery, Changi General Hospital, Singapore.

Introduction: True non-traumatic radial artery aneurysms (RAAs) are extremely rare, and few cases have been described. The majority of RAAs are post-traumatic or iatrogenic pseudo-aneurysms following arterial cannulation. However, RAAs due to other causes have also been described. Read More

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November 2020

Distal versus proximal radial artery access for cardiac catheterization and intervention: Design and rationale of the DIPRA trial.

Cardiovasc Revasc Med 2021 Apr 15. Epub 2021 Apr 15.

Interventional Cardiology and Structural Heart Disease, The Heart Hospital - Plano, Baylor Scott & White Health, United States of America.

Background: Radial artery (RA) catheterization is the access of choice over femoral artery access for most interventional vascular procedures given its safety and faster patient recovery. There has been growing interest in distal radial artery (dRA) access as an alternative to the conventional proximal radial artery (pRA) access. Preserving the RA is important which serves as a potential conduit for future coronary artery bypass surgery, dialysis conduit or preserve the artery for future cardiovascular procedures. Read More

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Lessons Learned After 760 Neurointerventions via the Upper Extremity Vasculature: Pearls and Pitfalls.

Neurosurgery 2021 Apr 16. Epub 2021 Apr 16.

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

Background: The radial approach has been gaining more widespread use by neurointerventionalists fueled by data from the cardiology literature showing better safety and overall reduced morbidity.

Objective: To present our institution's experience with the radial approach for neuroendovascular interventions in 614 consecutive patients who underwent a cumulative of 760 procedures.

Methods: A retrospective analysis was performed and identified neuroendovascular procedures performed via the upper extremity vasculature access site. Read More

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Margin of safety for needle puncture of a radial artery.

J Anesth 2021 Apr 12. Epub 2021 Apr 12.

Department of Anesthesiology, Dokkyo Medical University Saitama Medical Center, 2-1-50 Minami-Koshigaya, Koshigaya, Saitama, 343-8555, Japan.

The radial artery is the preferred site for arterial cannulation because of consistent anatomic accessibility, ease of cannulation, and a low incidence of complications. One possible risk associated with cannulation is an injury to the superficial branch of the radial nerve. The radial nerve divides to the superficial branch and the deep branch at the top of the forearm, and the superficial branch lies behind the brachioradialis muscle close to the lateral side of the radial artery and terminates the lateral side of the radial artery about 7 cm proximal to the wrist. Read More

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Distal Transradial Access for Coronary Angiography and Interventions in Everyday Practice: Data From the TRIANGLE Registry (TwitteR Initiated registry for coronary ANgiography in Germany via distaL radial accEss).

Cardiol Ther 2021 Apr 5. Epub 2021 Apr 5.

Medical Clinic/Cardiology, Asklepios Klinik Barmbek, Rübenkamp 220, 22291, Hamburg, Germany.

Introduction: Transradial access (TRA) has become the primary route for coronary angiography (CAG) and percutaneous coronary interventions (PCI). Recently a new puncture site more distally in the area of the anatomical snuffbox has been described. With this multicenter registry, we wish to demonstrate the feasibility and safety of the distal radial access (dRA). Read More

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Characteristics and Outcomes of Patients With History of CABG Undergoing Cardiac Catheterization Via the Radial Versus Femoral Approach.

JACC Cardiovasc Interv 2021 Apr 31;14(8):907-916. Epub 2021 Mar 31.

Duke Clinical Research Institute, Durham, North Carolina, USA. Electronic address:

Objectives: The aims of this study were to examine rates of radial artery access in post-coronary artery bypass grafting (CABG) patients undergoing diagnostic catherization and/or percutaneous coronary intervention (PCI), whether operators with higher procedural volumes and higher percentage radial use were more likely to perform diagnostic catherization and/or PCI via the radial approach in post-CABG patients, and clinical and procedural outcomes in post-CABG patients who undergo diagnostic catherization and/or PCI via the radial or femoral approach.

Background: There are limited data comparing outcomes of patients with prior CABG undergoing transradial or transfemoral diagnostic catheterization and/or PCI.

Methods: Using the National Cardiovascular Data Registry CathPCI Registry, all diagnostic catheterizations and PCIs performed in patients with prior CABG from July 1, 2009, to March 31, 2018 (n = 1,279,058, 1,173 sites) were evaluated. Read More

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Single Arm Access for Combined Transarterial and Transvenous Neurointerventional Procedures.

World Neurosurg 2021 Mar 31;150:121-126. Epub 2021 Mar 31.

Department of Neurological Surgery, Rutgers New Jersey Medical School, Newark, New Jersey, USA.

A concurrent arterial and venous access is routinely obtained for diagnosis and treatment of various neurovascular diseases. Traditionally, venous access is obtained by accessing the femoral vein or through direct internal jugular puncture. Although complication rates are low, life-threatening severe complications have been reported. Read More

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Transcoronary pacing in an animal model : Second coated guidewire versus cutaneous patch as indifferent electrodes.

Med Klin Intensivmed Notfmed 2021 Mar 31. Epub 2021 Mar 31.

Department of Medicine I, Klinikum Merseburg, Merseburg, Germany.

Background: Transcoronary pacing is a seldom used treatment option for unheralded bradycardias in the setting of percutaneous coronary interventions (PCI). In the present study we compared a coated guidewire inserted proximally into a coronary artery with a cutaneous patch electrode as indifferent electrodes for transcoronary pacing in a porcine model.

Methods: Transcoronary pacing was investigated in 7 adult pigs in an animal catheterization laboratory. Read More

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Distal Radial Artery Cannulation for Challenging Radial Anatomy.

Cardiology 2021 Mar 30:1-2. Epub 2021 Mar 30.

Section of Cardiology, Department of Medicine, Baylor College of Medicine, Houston, Texas, USA.

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Outcomes of Dorsal Distal Radial, Radial, and Ulnar Artery Percutaneous Coronary Intervention With Ultrasound Guidance in Acute Myocardial Infarction.

Curr Probl Cardiol 2021 Jun 27;46(6):100822. Epub 2021 Feb 27.

Division of Cardiovascular Medicine, Texas Tech University Health Sciences Center, Paul L. Foster School of Medicine, El Paso, TX. Electronic address:

Ultrasound utilization during access enables precise vessel cannulation. We sought to evaluate the outcomes of ultrasound guided dorsal distal radial artery (DDRA), radial, and ulnar cardiac catheterization (CC) and percutaneous coronary intervention (PCI). We performed a prospective observational study of 224 patients (58 ± 12 years) at an academic medical center from October 2016 to March 2020 (median follow-up of 13 months) and compared the outcomes of ultrasound guided DDRA, ulnar, or radial artery CC and PCI. Read More

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Early radial artery occlusion following the use of a transradial 7-French sheath for complex coronary interventions in Chinese patients.

Catheter Cardiovasc Interv 2021 May 22;97 Suppl 2:1063-1071. Epub 2021 Mar 22.

Coronary Heart Disease Center, Department of Cardiology, Fuwai Hospital, State Key Laboratory of Cardiovascular Disease, National Center for Cardiovascular Diseases, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing, China.

Objectives: We aimed to explore the impact of 7-Fr sheaths on the incidence of early radial artery occlusion (RAO) after transradial coronary intervention (TRI) in Chinese patients.

Background: RAO precludes future use of the vessel for vascular access. Transradial catheterization is usually performed via 5-Fr or 6-Fr catheters; 7-Fr sheath insertion enables complex coronary interventions but may increase the RAO risk. Read More

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Safety of arterial catheterization using the distal radial approach in intensive care unit management: A pilot study.

J Vasc Access 2021 Mar 21:11297298211003374. Epub 2021 Mar 21.

Department of Emergency and Critical Care Medicine, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan.

Background: Arterial catheter (A-line) is essential for managing severely ill patients, and the radial artery is the most common insertion site in the intensive care unit (ICU). However, many accidental removals occur because the insertion site of A-line in the traditional radial approach (TRA) overlaps with the joint flexion. Recent reports have shown no significant difference in the complication rates between coronarography using the distal radial approach (DRA) and that using TRA. Read More

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Late massive radial artery pseudoaneurysm following cardiac catheterization: A case report.

Int J Surg Case Rep 2021 Apr 16;81:105774. Epub 2021 Mar 16.

Division of Cardiology, Department of Internal Medicine, University of Florida, 655 W 8th St., 5th Floor, Ambulatory Care Center, Jacksonville, FL, 32209, United States. Electronic address:

Introduction: Transradial artery approach for cardiac catheterization was first introduced in the late 1980s and has now become the approach of choice due to its anatomical advantage, reduction in complications, and overall improved patient experience.

Case Presentation: We present a case of a 77 year-old female who presented with an extremely rare and late complication of radial artery pseudoaneurysm after transradial coronary intervention. The patient presented at a post-procedural follow-up with severe pain at the radial access site and was found to have a partially thrombosed pseudoaneurysm. Read More

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Does radial or median nerve blocks affect the area and blood flow of radial artery?

Anaesth Crit Care Pain Med 2021 Apr 18;40(2):100831. Epub 2021 Mar 18.

Department of Burn & Plastic Surgery, All India Institute of Medical Sciences (AIIMS), Patna, India.

Background And Aims: Radial artery is a common site of cannulation in acute care setting. There are conflicting reports as to which nerve, radial or median or both supplies the radial artery. We did this prospective study in patients undergoing minor procedures under peripheral nerve blocks to ascertain which nerve block, radial or median increases the cross sectional area and blood flow in the radial artery. Read More

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Impact of clinical parameters and vascular haemodynamics on arterio-venous fistula maturation in patients with end stage renal disease: A prospective study on Indian patients.

J Vasc Access 2021 Mar 14:11297298211001158. Epub 2021 Mar 14.

Department of Surgical Disciplines, All India Institute of Medical Sciences, New Delhi, India.

Background: About 18%-65% of Arterio-Venous fistula (AVF) made to facilitate haemodialysis in end stage renal disease patient fail to mature. This study was designed to evaluate the impact of clinical parameters and vascular haemodynamics on maturation of AVF on Indian patients.

Material And Methods: This was a prospective observational study. Read More

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Comparison of distal radial access versus standard transradial access in patients with smaller diameter radial Arteries(The distal radial versus transradial access in small transradial ArteriesStudy: D.A.T.A - S.T.A.R study).

Indian Heart J 2021 Jan-Feb;73(1):26-34. Epub 2020 Nov 11.

Jaipur National University Hospital, Jaipur, Rajasthan, India. Electronic address:

Aims: To evaluate safety and efficacy of distal right radial access (DRRA) compared to right radial access (RRA), for coronary procedures, in patients with smaller diameter radial arteries (SDRA) (radial artery diameter (RAD) < 2.1 mm).

Methods And Results: This is a retrospective analysis of safety and efficacy of DRRA Vs. Read More

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November 2020

Effects of ultrasound-guided techniques for radial arterial catheterization: A meta-analysis of randomized controlled trials.

Am J Emerg Med 2020 May 6;46:1-9. Epub 2020 May 6.

Department of Cerebrovascular Disease, Henan Provincial People's Hospital, Zhengzhou University People's Hospital, Henan University People's Hospital, Henan Provincial Neurointerventional Engineering Research Center, Zhengzhou, Henan 450003, China. Electronic address:

Objective: This study aimed to evaluate whether ultrasound-guided techniques are superior compared to traditional palpation techniques in patients undergoing radial artery catheterization (RAC).

Methods: Electronic databases of PubMed, Embase, and the Cochrane Library were systematically searched to identify randomized controlled trials (RCTs). The relative risks (RRs) or weighted mean differences (WMDs) with corresponding 95% confidence intervals (CIs) were used to calculate the pooled effect estimates using the random effects model for categories and continuous data, respectively. Read More

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Association of Baseline Anemia with Mid-Term Clinical Outcomes in Patients Who Underwent Trans-Radial Primary Percutaneous Coronary Intervention.

Int Heart J 2021 Mar 6;62(2):256-263. Epub 2021 Mar 6.

Division of Cardiovascular Medicine, Saitama Medical Center, Jichi Medical University.

Radial access is recommended for primary percutaneous coronary intervention (PCI), because it has fewer bleeding complications than trans-femoral PCI. However, even if trans-radial PCI is chosen, patients with ST-elevation myocardial infarction (STEMI) presenting with anemia on admission might have poor clinical outcomes. The aim of this retrospective study was to investigate whether anemia on admission was associated with mid-term clinical outcomes in patients who underwent trans-radial primary PCI. Read More

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Randomized trial comparing radial hemostasis techniques; catechol conjugated chitosan pad (InnoSEAL) versus pneumatic compression band.

Catheter Cardiovasc Interv 2021 Mar 2. Epub 2021 Mar 2.

Department of cardiology, Tabba Heart Institute Karachi, Karachi, Pakistan.

Objectives: Primary objectives: to compare radial artery occlusion rate (RAO) after cardiac catheterization between catecholamine-chitosan pad (InnoSEAL) and pneumatic compression device (PCD) and to compare difference in hemostasis time and radial monitoring termination time between two arms. Secondary objectives: to compare radial site bleeding and ease of use of two methods by cath-lab technicians.

Background: Hemostatic pads may be an effective alternative to PCD with lesser chance of access site complications with advantage of shortened compression time. Read More

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Rate of late radial artery occlusion following cardiac catheterization at Jordan University Hospital.

Future Cardiol 2021 Feb 15. Epub 2021 Feb 15.

School of Medicine, University of Jordan, Amman, Jordan.

A recanalizing-process might decrease the incidence of radial artery occlusion (RAO) at a late assessment postcatheterization opposed to an early assessment. In this study, we evaluated the rate of RAO at a late postcatheterization period. A retrospective case-control design was adapted including 148 patients who underwent -radial cardiac catheterization 7 to 18 months ago. Read More

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February 2021

Propensity-Adjusted Comparative Analysis of Radial Versus Femoral Access for Neurointerventional Treatments.

Neurosurgery 2021 Feb 13. Epub 2021 Feb 13.

Department of Neurosurgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.

Background: Transradial artery (TRA) catheterization for neuroendovascular procedures is associated with a lower risk of complications than transfemoral artery (TFA) procedures. However, the majority of literature on TRA access pertains to diagnostic procedures rather than interventional treatments.

Objective: To compare TRA and TFA approaches for cerebrovascular interventions. Read More

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February 2021

Early experience with a novel 088 long sheath in transradial neurointerventions.

Clin Neurol Neurosurg 2021 Mar 20;202:106510. Epub 2021 Jan 20.

Department of Neurological Surgery, Thomas Jefferson University Hospital, Philadelphia, PA USA. Electronic address:

Background: Transradial access (TRA) for neuroendovascular procedures has several clear benefits compared to transfemoral access. In this study, we report our initial experience with neuroendovascular procedures performed via transradial access using the novel Ballast 088 long sheath.

Methods: We conducted a retrospective analysis and identified 91 consecutive patients who underwent neuroendovascular procedures via TRA using the Ballast 088 long sheath. Read More

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Radial artery catheterisation pressure monitoring with a closed intravascular catheter system and ultrasound-guided dynamic needle tip positioning technique.

Br J Anaesth 2021 04 26;126(4):e144-e146. Epub 2021 Jan 26.

Department of Anesthesiology, Qilu Hospital (Qingdao), Cheeloo College of Medicine, Shandong University, Qingdao, People's Republic of China. Electronic address:

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Total Radial Artery Occlusion Following Transradial Access: Complete Recanalization via the Anatomical Snuffbox.

Methodist Debakey Cardiovasc J 2020 Oct-Dec;16(4):314-317

HOUSTON CARDIOLOGY CONSULTANTS, HOUSTON, TEXAS.

Radial artery occlusion (RAO) is a common complication of procedures requiring transradial access. While radial artery occlusion is most often asymptomatic, there is an elevated prevalence of ischemia in patients with inadequate palmar arch blood supply. Furthermore, treatment options for RAO remain severely limited. Read More

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February 2021

Effect of wrist dorsiflexion on ultrasound-guided radial artery catheterisation using dynamic needle tip positioning technique in adult patients: a randomised controlled clinical trial.

Emerg Med J 2021 Jan 26. Epub 2021 Jan 26.

Department of Anaesthesiology, The First Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong, China

Background: It is generally recommended to keep the wrist joint mildly dorsiflexed during radial artery catheterisation. However, wrist dorsiflexion might decrease the success rate of radial artery catheterisation with dynamic needle tip positioning technique. Therefore, we assessed the success rates of two groups with or without wrist dorsiflexion by 5 cm wrist elevation in adult patients. Read More

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January 2021

Transradial Embolization, an Underused Type of Uterine Artery Embolization Approach: A Systematic Review.

Medicina (Kaunas) 2021 Jan 20;57(2). Epub 2021 Jan 20.

Department of Obstetrics and Gynecology, University of Medicine and Pharmacy "Gr. T. Popa", 700015 Iasi, Romania.

The most utilized approach for the embolization of uterine arteries is the transfemoral path. However, the transradial approach (TRA) has been gaining popularity among cardiologic interventions in the last years but only few studies have shown its applicability in uterine myoma treatment. The objective of this paper is to assess the feasibility, safety and efficacy of TRA when compared with the transbrachial, transulnar or transfemoral approach (TFA) for uterine arteries embolization (UAE). Read More

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January 2021

Randomized Trial of VasoStat Versus TR Band Following Radial Artery Access for Catheterization Procedures.

J Invasive Cardiol 2021 Feb 21;33(2):E84-E90. Epub 2021 Jan 21.

Billings Clinic Heart and Vascular at Community Medical Center, 2827 Fort Missoula Road, Missoula, MT 59804-7408 USA.

Purpose: VasoStat (VS; Forge Medical) is a recently developed radial artery compression device (RCD) producing focused puncture-site pressure. We compared time to hemostasis and patient experience with VS vs balloon compression with the TR Band (Terumo) in a randomized, prospective trial among subjects undergoing radial catheterization procedures with same-day discharge.

Methods: Forty subjects without prior radial access undergoing elective coronary and/or endovascular diagnostic or interventional procedures were randomized to VS or TR Band. Read More

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February 2021

[Clinical study of peripheral vascular intervention via radial artery].

Zhonghua Zhong Liu Za Zhi 2021 Jan;43(1):143-146

Department of Interventional Therapy, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.

To discuss the safety and feasibility of transradial access (TRA) in performing peripheral arterial intervention. The clinical data of the patients underwent peripheral vascular intervention via TRA in our hospital from September 2017 to March 2019 were reviewed. The success rate of radial artery puncture and subsequent operation after puncture, and related postoperative complications within 30 days were analyzed. Read More

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January 2021

Acute Hand Ischemia and Digital Amputation After Transradial Coronary Intervention in a Patient With CREST Syndrome.

Authors:
Thomas J Earl

Tex Heart Inst J 2020 08;47(4):319-321

Michigan Heart & Vascular Specialists, McLaren Northern Michigan, Petoskey, Michigan 49770.

The radial artery approach for coronary angiography and intervention is rapidly replacing the femoral artery approach, largely because it reduces bleeding and vascular access site complications. However, complications associated with transradial access warrant attention, notably radial artery occlusion. This report focuses on a case of radial artery occlusion after percutaneous coronary intervention in a 46-year-old woman with CREST (calcinosis, Raynaud phenomenon, esophageal dysfunction, sclerodactyly, and telangiectasia) syndrome, which ultimately led to acute hand ischemia necessitating amputation of her middle and index fingers. Read More

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