Transradial access in percutaneous coronary interventions : Technique and procedure.
Summary of "Transradial access in percutaneous coronary interventions : Technique and procedure."
After showing significantly lower complication rates in diagnostic coronary angiography, the radial artery access was successfully introduced as a useful vascular access site for transradial percutaneous coronary intervention in order to enhance patients' comfort and reduce hospital workload and costs. Moreover, due to the reduced need for antiplatelet therapy cessation as a result of lower bleeding complications, patients treated with transradial access showed a significantly better cardiac outcome in randomized interventional acute coronary syndrome studies.Procedural success and postprocedural radial arteritis or radial occlusions are closely related to anatomical circumstances (e.g., anomalous radial branching patterns, tortuosity, e.g., radial loops and small radial artery diameters), or risk factors for radial spasms (e.g. smoking, anxiety, vessel diameter, age, gender) which can effectively be reduced by the use of smaller catheters (4-5 Fr) and the administration of an adjuvant pharmacological therapy before (3000 U heparin, verapamil, nitroglycerine) and after (ibuprofen) the intervention.For successful radial sheath access and transradial catheterization, it is important to use dedicated radial access needles ≤21-gauge and steel wires ≤0.018 in. In order to pass the brachiocephalic trunk without difficulties or complications and access the ascending aorta, the use of inspiration maneuvers is of central importance.
Department of Cardiology-Angiology, Heart and Vascular Center Neu-Bethelehem, Humboldtallee 6, 37073, Göttingen, Germany, firstname.lastname@example.org.
This article was published in the following journal.
- PubMed Source: http://www.ncbi.nlm.nih.gov/pubmed/20857079
- DOI: http://dx.doi.org/10.1007/s00059-010-3372-9
To assess efficacy of the transradial approach and to evaluate possibility of its wide application for coronary interventions as an alternative to the transfemoral access.
Data on the effect of bivalirudin therapy in primary percutaneous coronary interventions (PCI) performed through the transradial approach are limited. The aim of our study was to evaluate bleeding com...
The aim of the present study was to assess access site pain levels of patients undergoing coronary catheterization via transradial route.
Application of transradial arterial access during coronarography, besides pain, means faster patient mobilization and fewer complications. During those procedures, vascular sheaths and 5/6 Fr catheter...
We describe the case of a 62-year-old female patient in whom there was an occlusion of collaterals and acute inferior wall ischemia during the opening procedure of right coronary artery (RCA) chronic...
Transradial approach of cardiac catheterization is a common alternative to transfemoral access for diagnostic coronary angiography and percutaneous coronary interventions (PCI). The transr...
The aim of this study is to compare the radial and femoral access for percutaneous interventions in the acute phase of the ST elevation acute myocardial infarction in terms of efficacy and...
HYPOTHESES - Discharge on the same day after uncomplicated trans-radial coronary artery stenting is safe and effective. - Hospitalized patients can be safely returned to...
The purpose of this research study is to obtain experience in the use of fondaparinux (Arixtra) as compared to heparin when administered to patients who undergo percutaneous coronary inter...
To assess the relative long-term safety and efficacy of percutaneous transluminal coronary angioplasty (PTCA) and coronary artery bypass graft (CABG) surgery in patients with multivessel d...
Medical and Biotech [MESH] Definitions
Percutaneous transluminal procedure for removing atheromatous plaque from the coronary arteries. Both directional (for removing focal atheromas) and rotational (for removing concentric atheromatous plaque) atherectomy devices have been used.
Use of a balloon catheter for dilatation of an occluded artery. It is used in treatment of arterial occlusive diseases, including renal artery stenosis and arterial occlusions in the leg. For the specific technique of balloon dilatation in coronary arteries, ANGIOPLASTY, TRANSLUMINAL, PERCUTANEOUS CORONARY is available.
Surgical excision of the gingiva at the level of its attachment, thus creating new marginal gingiva. This procedure is used to eliminate gingival or periodontal pockets or to provide an approach for extensive surgical interventions, and to gain access necessary to remove calculus within the pocket. (Dorland, 28th ed)
Dilatation of an occluded coronary artery (or arteries) by means of a balloon catheter to restore myocardial blood supply.
Percutaneous excision of a herniated or displaced intervertebral disk by posterolateral approach, always remaining outside the spinal canal. Percutaneous nucleotomy was first described by Hijikata in Japan in 1975. In 1985 Onik introduced automated percutaneous nucleotomy which consists in percutaneous aspiration of the nucleus pulposus. It is carried out under local anesthesia, thus reducing the surgical insult and requiring brief hospitalization, often performed on an outpatient basis. It appears to be a well-tolerated alternative to surgical diskectomy and chymopapain nucleolysis.