Ulnar artery compression: a feasible and effective approach to prevent the radial artery occlusion after coronary intervention

Chinese Medical Journal
Jun TianTie-Min Jiang

Abstract

Radial artery (RA) occlusion (RAO) is not rare in patients undergoing coronary intervention by transradial approach (TRCI). Predictors of and prevention from RAO have not been systematically studied. This study aimed to analyze the risk factors of the weakness of RA pulsation (RAP) and its predictive value for RAO after TRCI, and simultaneously to describe a feasible and effective approach to maintain RA patency. Between June 2006 and March 2010, all patients who underwent TRCI were classified according to the weakness of RAP after removing compression bandage with confirmation by Doppler ultrasound for the first 30 consecutive patients. Among a total of 2658 patients studied, 187 (7%) patients having a weaker RAP were prospectively monitored. At 1 h after bandage removal, the ulnar artery in puncture side of all patients was blocked with manual compression to favor brachial and collateral artery blood flow through the RA until a good RAP was restored. The primary analysis was the occurrence of RAO. Doppler ultrasound demonstrated the significant reduction of both systolic velocity (61.24 ± 3.95 cm/s vs. 72.31 ± 3.57 cm/s) and diastolic velocity (1.83 ± 0.32 cm/s vs. 17.77 ± 3.97 cm/s) in RA at access side as compared to the co...Continue Reading

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Citations

Oct 8, 2016·JACC. Cardiovascular Interventions·Samir B PancholyTejas M Patel
Oct 8, 2016·JACC. Cardiovascular Interventions·Ferdinand Kiemeneij, Gerard J J Boink
Nov 12, 2019·Expert Review of Cardiovascular Therapy·Analkumar Parikh, Ian C Gilchrist
Sep 27, 2018·Experimental and Therapeutic Medicine·Mustafa Adem Yilmaztepe, Erdem Yilmaz
Oct 4, 2018·Journal of Clinical Medicine·Ciro IndolfiSalvatore De Rosa

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Methods Mentioned

BETA
RAP
coronary bypass

Software Mentioned

SPSS

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