Transradial right and left heart catheterizations: a comparison to traditional femoral approach

Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions
Ian C GilchristJoseph A Gascho

Abstract

This study compares the transradial versus transfemoral approach to combined right- and left-heart catheterization. Central venous access from peripheral veins has been a historically useful technique. Although the need for right-heart catheterization has been considered an exclusion for transradial catheterization, we have combined a peripheral approach to the central venous system with radial arterial access which permits bilateral heart catheterization using a transradial approach. Over an 18-month period all right-heart catheterizations done in conjunction with arterial access were reviewed. Salvage procedures, mixed site access, and biopsy procedures were excluded. Radial procedures were performed using radial artery access and a forearm vein. Femoral procedures used femoral artery/vein. Demographics, procedural information, and postprocedural complications including those requiring vascular ultrasound or transfusion were recorded and used for comparison between groups. Total of 175 femoral/105 radial cases done by 4 operators met criteria for comparison. Both groups had similar procedural indications and age. Procedural durations were shorter (P < .01) with radial 70 +/- 5.0 min (+/-95% CI) vs. femoral 75 +/- 5.4 min (+/-...Continue Reading

References

Jan 17, 2002·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ian C GilchristRallapalli Reddy
Apr 30, 2002·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ian C GilchristThierry Momplaisir
Jun 2, 2004·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Pramod K KuchulakantiRon Waksman
Jan 29, 2005·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Carey D Moyer, Ian C Gilchrist
Aug 16, 2005·The American Journal of Cardiology·Joseph VaglioJohn A Spertus

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Citations

Dec 9, 2008·American Heart Journal·Ian C Gilchrist, John K French
Jun 22, 2010·EuroIntervention : Journal of EuroPCR in Collaboration with the Working Group on Interventional Cardiology of the European Society of Cardiology·Christian PristipinoUNKNOWN Prospective Registry of Vascular Access in Interventions in Lazio region (PREVAIL) study group
Oct 17, 2013·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Sachin ShahSergio Waxman
Mar 30, 2010·Cardiovascular Revascularization Medicine : Including Molecular Interventions·Michael KoutouzisPer Albertsson
May 6, 2011·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ronald P CaputoTejas Patel
Oct 26, 2011·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ian C Gilchrist
May 5, 2011·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Samir B Pancholy, Joseph Sweeney
Jun 3, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Samir PancholyTejas Patel
Aug 19, 2015·The Canadian Journal of Cardiology·Vincent RouleFarzin Beygui
Dec 25, 2015·Heart·Paul Callan, Andrew L Clark
Feb 6, 2014·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ian C Gilchrist
Mar 26, 2016·Korean Circulation Journal·Sang Hyun LeeJune Hong Kim
Jul 31, 2009·Coronary Artery Disease·Nader Z ElgharibJohn T Coppola
Nov 26, 2010·Catheterization and Cardiovascular Interventions : Official Journal of the Society for Cardiac Angiography & Interventions·Ian C Gilchrist
Apr 29, 2020·Interventional Neuroradiology : Journal of Peritherapeutic Neuroradiology, Surgical Procedures and Related Neurosciences·Alexander D RamosAthos Patsalides
Feb 18, 2021·Journal of Neurointerventional Surgery·Isaac Josh AbecassisRobert M Starke

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