Feasibility and Safety of Transulnar Catheterization in Ipsilateral Radial Artery Occlusion

International Heart Journal
Shu-Kai HsuehChiung-Jen Wu

Abstract

To investigate the postprocedural cardiovascular events and vascular outcomes, including hand ischemia and neurological compromise, after transulnar (TU) catheterization in ipsilateral radial artery occlusion.Previous randomized trials have shown that the transulnar (TU) approach for coronary angiogram and intervention has safety and outcomes similar to those of the transradial (TR) approach. However, the safety of the TU procedure when ipsilateral radial artery occlusion occurs is unknown.We retrospectively reviewed 87 TU cases with ipsilateral radial artery occlusion confirmed by a forearm angiogram. Eighty percent of these patients had a history of ipsilateral radial artery cannulation or surgery. We avoided the use of over-sized sheaths or applied a sheathless approach during surgery.No ulnar artery occlusion was observed by subsequent Doppler ultrasound or pulse oximetry. No patient developed hand ischemia or serious complications requiring surgery or blood transfusion during the follow-up period of 32.2 ± 24.0 months. Review of the preprocedural forearm angiograms showed that 95.7% of the patients possessed significant collaterals supplying flow from the interosseous artery to the occluded radial artery remnant. Thus, the...Continue Reading

References

Jan 1, 1986·The Anatomical Record·W L Poteat
Aug 1, 1995·The Journal of Hand Surgery : Journal of the British Society for Surgery of the Hand·K L LeeG Laitung
Feb 1, 1997·Catheterization and Cardiovascular Diagnosis·C J WuJ S Hung
May 29, 1999·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·S SaitoS Tanaka
May 29, 1999·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·S SaitoT Shiono
Aug 24, 1999·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·S A NashefR Salamon
Jun 19, 2001·Journal of Korean Medical Science·M K LeeS H Lim
Oct 3, 2001·The Journal of Thoracic and Cardiovascular Surgery·P RuengsakulrachB F Buxton
Dec 1, 2001·British Journal of Plastic Surgery·C J Porter, C G Mellow
Jul 23, 2002·Critical Care : the Official Journal of the Critical Care Forum·Bernd ScheerUlrich J Pfeiffer
Jun 28, 2005·Journal of the American College of Surgeons·R James ValentineG Patrick Clagett
Mar 25, 2006·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Eduardo AptecarPatrick Dupouy
Aug 16, 2006·Circulation·John W EikelboomSalim Yusuf
Nov 20, 2009·Anesthesia and Analgesia·Marek BrzezinskiMartin J London
Apr 10, 2010·International Heart Journal·Hesham HusseinChiung-Jen Wu
Sep 15, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Diana Rhyne, Tift Mann
May 18, 2011·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Samir B Pancholy, Tejas M Patel
Jul 21, 2012·Vascular Medicine·Joseph HabibBhagwan Satiani
Sep 26, 2012·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Tak W KwanTejas Patel
Jan 3, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Hsiu-Yu FangChiung-Jen Wu
Jan 29, 2013·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Martial HamonUNKNOWN Working Group on Thrombosis on the European Society of Cardiology
Jul 9, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Sasko KedevDanica Petkoska
Aug 27, 2014·Revista Española De Cardiología·Ramón Rodríguez-OlivaresJavier Goicolea Ruigómez

❮ Previous
Next ❯

Citations

Nov 12, 2019·Expert Review of Cardiovascular Therapy·Analkumar Parikh, Ian C Gilchrist
Jan 16, 2020·Current Treatment Options in Cardiovascular Medicine·Analkumar ParikhIan C Gilchrist
Oct 26, 2018·Circulation. Cardiovascular Interventions·Peter J MasonUNKNOWN American Heart Association Interventional Cardiovascular Care Committee of the Council on Clinical Cardiology; Council on Ca
Nov 11, 2020·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Edo KaluskiMichael Bianco
Jul 1, 2020·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Shunsuke AoiTak Kwan
Jan 25, 2021·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Eline H PloumenJanine A van Til

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

Arquivos brasileiros de cardiologia
Pedro Beraldo de AndradeLuiz Alberto Piva e Mattos
Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Sasko KedevDanica Petkoska
Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Sanjay Kumar ChughSunil V Rao
© 2022 Meta ULC. All rights reserved