Percutaneous mechanical thrombectomy for acute superior mesenteric artery embolism via left distal transradial access in the anatomical snuffbox

Chen, Shang-Xiong; Zhang, Bin; Hao, Yanbin; Xiao, Hang

doi:10.21037/qims-21-357

Cited by 3 publications

(5 citation statements)

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“…CFA has been used as a routine access point for endovascular procedures. 8 However, complications such as bleeding, hematomas, pseudoaneurysms, arteriovenous fistulas, and thrombosis still occur in 0.7-9.0% of patients. 16 PCI was first performed through the radial artery in 1989 17 to avoid potential complications of the femoral artery and to improve patient comfort.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

“…Before removal of the dTRA arterial sheath, intrathecal injection of 200 μg of nitroglycerin was administered to prevent vasospasm. 8,10 After 20 min of compression to stop bleeding, the bandage was kept in place for 2 h without the use of a vascular closure device. No postoperative bed rest was required; in contrast, the mean bed rest time in the CFA group was 6 h ( p < .001).…”

Section: Discussionmentioning

confidence: 99%

“…One report described a case of acute superior mesenteric artery embolism treated with a Rotarex Atherectomy System (Becton, Dickinson and Company, Franklin Lakes, NJ, USA) via dTRA. 8 Most recent studies on dTRA have focused on PCI; 9,10 few have focused on dTRA in the treatment of peripheral and visceral arterial disease, [10][11][12][13] all of these studies were single-arm studies of dTRA. In addition, there has been an interest in the difference between the radial and femoral approaches in non-coronary interventions.…”

Section: Introductionmentioning

confidence: 99%

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Comparison of Distal Transradial and Femoral Access in Endovascular Treatment of Non-coronary Arterial Disease

et al. 2023

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This study compared the efficacy and safety of distal transradial access (dTRA) and common femoral artery access (CFA) for endovascular treatment of non-coronary arterial disease. 102 interventions were divided into dTRA ( n = 51) and CFA ( n = 51) groups; the puncture success rate was 100% in both groups. The mean number of punctures and puncture time were greater in the dTRA than CFA group (1.86 vs 1.04 and 3.96 vs ≤1.00 min, p < .001 for both), whereas the access-related complication rate was comparable. The surgical success rate was higher in the CFA than dTRA group (98.0 vs 84.3, p = .036), and the operative time was longer in the dTRA than CFA group (99.09 vs 84.10 min, p = .017). The postoperative adverse event rate was not different between the dTRA and CFA groups. dTRA is a safe and feasible access for non-coronary arterial disease and is comparable to CFA in terms of puncture success, access-related complications, and major adverse events. The dTRA is inferior to CFA in the treatment of lower extremity arterial disease. Due to the increase in the operation time and the contrast medium volume in the dTRA, it is necessary to be vigilant about contrast nephropathy and late radiological random side effects.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Comparison of Distal Transradial and Femoral Access in Endovascular Treatment of Non-coronary Arterial Disease

et al. 2023

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“…The main puncture paths of PCI include radial artery, brachial artery and femoral artery. The advantages of radial artery puncture are less vascular complications, no absolute limitation of activity, and good comfort [2]. However, in clinical practice, there are often patients presenting with slender and deformed radial arteries that are prone to spasm, stenosis, occlusion, and other conditions.…”

Section: Introductionmentioning

confidence: 99%

Evaluation of the Safety and Efficacy of Coronary Intervention through the Brachial Artery Compared to the Radial Artery in Elderly Patients with Different Extubation Times

Liu,

Ren,

Xing

et al. 2024

HSF

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Introduction: Percutaneous coronary intervention (PCI) is an important treatment for acute coronary syndrome. The main puncture paths of PCI include radial artery, brachial artery, and femoral artery. The aim of this study was to investigate the safety and efficacy of transbrachial intervention in elderly patients. Methods: According to intraoperative and postoperative nursing records, a retrospective analysis was performed for 70 elderly patients who underwent coronary intervention were divided into brachial artery A group (33 cases) and brachial artery B group (37 cases) according to immediate postoperative extubation compression dressing and 6 hours postoperative extubation compression dressing, and matched elderly patients who had successful transradial artery puncture in the same period as radial artery group (35 cases). The success rate of puncture and catheterization, arterial puncture time, total operation time, length of hospital stay, patient comfort score, incidence of arterial spasm and occlusion, subcutaneous ecchymosis and hematoma, epidermal blister occurrence, vagal reflex, pseudoaneurysm development, arteriovenous fistula formation, nerve damage risk assessment and osteofascial compartment syndrome were compared. Results: Compared with the radial artery group, the brachial artery group (group A and group B) had a higher success rate of puncture and catheterization (97.0% vs. 97.3% vs. 80.0%, p = 0.013), shorter arterial puncture time (2.45 ± 0.38 vs. 2.40 ± 0.35 vs. 3.40 ± 0.37, p = 0.000), and lower incidence of arterial spasm (0.0% vs. 0.0% vs. 34.3%, p = 0.000), arterial occlusion (0.0% vs. 0.0% vs. 14.3%, p = 0.005) and puncture site bleeding (12.1% vs. 5.6% vs. 40.0%, p = 0.001). The incidence of epidermal blister was higher in brachial artery A group than in brachial artery B group (24.2% vs. 2.7%, p = 0.003) or radial artery group (24.2% vs. 0%, p = 0.001), and the incidence of epidermal blister in brachial artery B group and radial artery group was not much different. There was no difference between the three groups in total operation time, length of hospital stay, comfort score, subcutaneous ecchymosis and hematoma, vagal reflex, pseudoaneurysm, arteriovenous fistula, nerve damage and osteofascial compartment syndrome. Conclusion: In elderly patients, coronary intervention through brachial artery is not inferior to radial artery.

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Acute mesenterial ischaemia: a contemporary view

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Startsev²,

Radionov

2023

Fundamentalʹnaâ i kliničeskaâ medicina

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During the COVID-19 pandemic, the incidence of acute mesenteric ischemia (AMI) increased to 10.9 per 100 000 population. Here we discuss causes, symptoms, current diagnosis and treatment of AMI.Frequently, such patients suffer from stenosis or occlusion of superior mesenteric artery accompanied by coronary artery disease, chronic heart failure, or chronic brain ischaemia. The main clinical symptom is constant abdominal pain which is sharp in case of mesenteric artery thrombosis or dull if thrombosis is restricted to the branch of superior or inferior mesenteric veins. Conventionally, the diagnosis of AMI is verified by multislice computed tomography angiography and contrast-enhanced multislice computed tomography. Timely diagnosis with emergency surgery reduces mortality from 90% to 30-50%. The best treatment outcomes are observed after early revascularizations and minimally invasive endovascular interventions.

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Percutaneous mechanical thrombectomy for acute superior mesenteric artery embolism via left distal transradial access in the anatomical snuffbox

Cited by 3 publications

References 0 publications

Comparison of Distal Transradial and Femoral Access in Endovascular Treatment of Non-coronary Arterial Disease

Comparison of Distal Transradial and Femoral Access in Endovascular Treatment of Non-coronary Arterial Disease

Evaluation of the Safety and Efficacy of Coronary Intervention through the Brachial Artery Compared to the Radial Artery in Elderly Patients with Different Extubation Times

Acute mesenterial ischaemia: a contemporary view

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