Segurança e eficácia da cateterização cardíaca direita e esquerda pelo acesso transradial comparado ao transfemoral: experiência inicial

Tebet, Marden André; Andrade, Pedro Beraldo de; Andrade, Mônica Vieira Athanazio de; Gentile, Milena; Mattos, Luiz Alberto; Labrunie, André

doi:10.1590/s2179-83972008000300013

Cited by 6 publications

(5 citation statements)

References 11 publications

(10 reference statements)

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“…The use of radial access is recognized as a safe way of performing cardiac diagnostic catheterization and percutaneous coronary interventions (PCI), and in the literature, different compression methods for hemostasis have been described (1,(3)(4) . The present study examined the incidence of hemorrhagic complications in patients undergoing radial cardiac catheterization with use of a hemostatic device for radial compression during a 4-hour period.…”

Section: Discussionmentioning

confidence: 99%

“…The radial pathway has been widely used in percutaneous cardiovascular procedures, since it allows performing complex interventions with reduction of intensity and duration of hemostasis after arterial pressure, and is associated with lower rates of vascular complications and major bleedings with potential impact on morbidity and mortality (1)(2)(3)(4) . Another important factor of this approach is the preferential choice by patients, because it provides greater comfort in recovery after the intervention by enabling early ambulation and shorter hospitalization time (5)(6) .…”

Section: Introductionmentioning

confidence: 99%

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Incidence of hemorrhagic complications with use of a radial compression device: a cohort study

Córdova

Santos

Toebe

et al. 2018

Rev. esc. enferm. USP

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Objective: To examine the incidence of hemorrhagic complications in patients undergoing radial cardiac catheterization and using a hemostatic device for arterial compression. Method: A prospective cohort study conducted with patients undergoing elective cardiac catheterization in two hemodynamic laboratories in southern Brazil. The TR Band® radial compression device was used during 4 hours for hemostasis of the arterial puncture site. Hematomas and minor bleeding were the outcomes evaluated. Results: A total of 244 patients were evaluated. The mean age was 63.5±10.9 years, 61.9% were male, 73.8% had systemic arterial hypertension (SAH) and 42.8% were dyslipidemic. Type I hematoma occurred in 1.2% of patients and minor bleeding in 9% after removal of the device. There was no significant association between hematomas and bleeding, and patients who used oral anticoagulants (p=0.604) and prior use of antiplatelets (p=0.958). Conclusion: The use of the hemostatic device for radial artery compression was safe in clinical practice and there was a low incidence of hematomas and minor bleeding after radial coronary angiography.How to cite this article: Córdova ESM, Santos LR, Toebe D, Moraes MAP, Souza EN. Incidence of hemorrhagic complications with use of a radial compression device: a cohort study. Rev Esc Enferm USP. 2018;52:e03410.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Incidence of hemorrhagic complications with use of a radial compression device: a cohort study

Córdova

Santos

Toebe

et al. 2018

Rev. esc. enferm. USP

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“…Although right heart catheterisation is considered a low-risk procedure with low incidence of adverse events, local vascular complications are responsible for the majority of those events and there are established site-specific risks 2. Further, previous small studies demonstrated reduced incidence of vascular complications, early ambulation and greater comfort to patients with the antecubital venous approach for right heart catheterisation 6–13…”

Section: Discussionmentioning

confidence: 99%

“…Notably, our protocol, as well as Harwani et al ’s,8 which similarly to ours used ultrasound guidance to obtain antecubital venous access, provides information on the adoption of antecubital venous approach as the preferred route for right heart catheterisations. The previous series of right heart catheterisations from the ‘forearm approach’ included either individuals with palpable/visible antecubital veins or individuals in which forearm venous access had been obtained before the procedure 6 7 9–14. Indeed, in the only study that clearly reported the overall success rate of the antecubital approach, a 15% access crossover rate was observed 6.…”

Section: Discussionmentioning

confidence: 99%

“…The data supporting the utilisation of the antecubital venous approach for right heart catheterisation are mainly derived from a series in which eligibility for such approach was based on visualisation/palpation of the antecubital veins 6–15. Hence, the applicability of the antecubital venous approach for the highly heterogeneous populations usually referred for right heart catheterisation is unclear.…”

Section: Introductionmentioning

confidence: 99%

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Ultrasound-guided antecubital vein approach for right heart catheterisation in a Brazilian tertiary centre

et al. 2020

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ObjectiveAs a parallel to the radial approach for left heart catheterisation, forearm veins may be considered for the performance of right heart catheterisation. However, data regarding the application of this technique under ultrasound guidance are scarce. The current study aims to demonstrate the feasibility of right heart catheterisation through ultrasound-guided antecubital venous approach in the highly heterogeneous population usually referred for right heart catheterisation.MethodsData from consecutive right heart catheterisations performed at an academic centre in Brazil, between January 2016 and March 2017 were prospectively collected.ResultsAmong 152 performed right heart catheterisations, ultrasound-guided antecubital venous approach was attempted in 127 (84%) cases and it was made feasible in 92.1% of those. Yet, there was no immediate vascular complication with the antecubital venous approach in this prospective series.ConclusionsUltrasound-guided antecubital venous approach for the performance of right heart catheterisation was feasible in the vast majority of cases in our study, without occurrence of vascular complications.

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Transradial arterial access for coronary and peripheral procedures: Executive summary by the transradial committee of the SCAI

Caputo

Tremmel

Rao

et al. 2011

Cathet Cardio Intervent

262

242

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In response to growing U.S. interest, the Society for Coronary Angiography and Interventions recently formed a Transradial Committee whose purpose is to examine the utility, utilization, and training considerations related to transradial access for percutaneous coronary and peripheral procedures. With international partnership, the committee has composed a comprehensive overview of this subject presented herewith. © 2011 Wiley Periodicals, Inc.

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Segurança e eficácia da cateterização cardíaca direita e esquerda pelo acesso transradial comparado ao transfemoral: experiência inicial

Cited by 6 publications

References 11 publications

Incidence of hemorrhagic complications with use of a radial compression device: a cohort study

Incidence of hemorrhagic complications with use of a radial compression device: a cohort study

Ultrasound-guided antecubital vein approach for right heart catheterisation in a Brazilian tertiary centre

Transradial arterial access for coronary and peripheral procedures: Executive summary by the transradial committee of the SCAI

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