Transradial artery coronary angioplasty

Kiemeneij, Ferdinand; Laarman, Gert Jan; Melker, Edwin de

doi:10.1016/0002-8703(95)90034-9

Cited by 269 publications

(184 citation statements)

References 13 publications

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“…Radial artery occlusion after transradial coronary angiography and intervention has been reported to occur in 2 to 10% of patients 4,9,15,22,23) . The explanation for why some patients develop occlusion is unknown.…”

Section: Discussionmentioning

confidence: 99%

Is Transradial Cerebral Angiography Feasible and Safe? A Single Center's Experience

Park

Kim

et al. 2010

J Korean Neurosurg Soc

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Objective : Although a transradial angiography is accepted as the gold standard for cardiovascular procedures, cerebral angiography has been performed via transfemoral approach in most institutions. The purpose of this study is to present our experience concerning the feasibility, efficacy, and safety of a transradial approach to cerebral angiography as an alternative to a transfemoral approach. Methods : Between February 2007 and October 2009, a total of 1,240 cerebral angiographies were performed via a transradial approach in a single center. The right radial approach was used as an initial access route. The procedure continued only after the ulnar artery was proven to provide satisfactory collateral perfusion according to two tests (a modified Allen's test and forearm angiography). Results : The procedural success rate was 94.8% with a mean duration of 28 minutes. All supra-aortic vessels were successfully catheterized with a success rate of 100%. The success rates of selective catheterization to the right vertebral artery, right internal carotid artery, left internal carotid artery, and left vertebral artery were 96.1%, 98.6%, 82.6% and 52.2%, respectively. The procedure was performed more than twice in 73 patients (5.9%), including up to 4 times in 2 patients. The radial artery occlusion was found in 4 patients (5.4%) on follow-up cerebral angiography, but no ischemic symptoms were observed in any of the cases. Conclusion : This study suggests that cerebral angiography using a transradial approach can be performed with minimal risk of morbidity. In particular, this procedure might be useful for follow-up angiographies and place less stress on patients.

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Section: Discussionmentioning

confidence: 99%

Is Transradial Cerebral Angiography Feasible and Safe? A Single Center's Experience

Park

Kim

et al. 2010

J Korean Neurosurg Soc

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“…3,5,13,15,16 Prevention is better than cure and when it comes to radial artery spasm it holds true. The prevention of spasm is easy than to control when it occurs.…”

Section: Discussionmentioning

confidence: 99%

“…The problem which are faced are unsuccessful radial access, coronary catheterization failure, pulse deficit, radial artery occlusion, dissection, and spasm. 1,3,7,8,9 The most common of these is the radial spasm 8,9 causing patient discomfort and even procedure failure. There is high propensity of spasm in the radial artery because of its anatomic property.…”

Section: *Corresponding Authormentioning

confidence: 99%

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Comparision of Various Vasodilators Regimen During Radial Corornary Angiogram: A Prospective Randomised Trial

Malla

Adhikari

et al. 2017

J Adv Intern Med

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Background and Aims: Coronary intervention through radial artery is a preferred over femoral route. Different vasodilators are used to prevent radial artery spasm. Till date there is no study to compare the effects of various vasodilator regimes during radial coronary angiogram in Nepal. We aim to compare the efficacy of different vasodilator in our patients.Methods and Result: This is a single centre, prospective randomized trial between Verapamil, Nitroglycerine (GTN) and cocktail (Verapamil with GTN). All the patient undergoing coronary angiogram via radial approach, without the contraindication were randomized by a computer generated randomization protocol. Patient undergoing coronary procedures via the radial artery were divided into three groups. Patients in group A received intra-arterial cocktail (2.5 mg of Verapamil plus 100 mcg Nitroglycerine in 10 ml of normal saline), patients in group B received Verapamil (5mg) and patient in group C received Nitroglycerine (200mcg). Heparin of 3000U was given intravenously in all three groips. Altogether 207 patients underwent transradial coronary angiogram, 203 were randomized after exclusion. Over all Radial artery spasm was reported in 28 patients (13.79%). There was no statistically significant difference in spasm between the three regimens however when grading, there was significant higher grade of spasm in Verapamil group (13.23%, P value < 0.05). When comparing Verapamil and GTN separately there was significant higher spasm (21% vs 7%, P value < 0.05) with higher grades of spasm in verapamil group.Journal of Advances in Internal Medicine 2016;05(01):11-14

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“…Several years later, Kiemeneij et al reported on the feasibility and safety of transradial coronary balloon angioplasty and coronary stent implantation in 100 patients [2,3]. In the hands of experienced operators success rates are excellent.…”

Section: Introductionmentioning

confidence: 99%

Critical hand ischaemia after transradial cardiac catheterisation: an uncommon complication of a common procedure

Rademakers

Laarman

2012

Neth Heart J

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We describe a case of critical hand ischaemia after transradial cardiac catheterisation. The patient presented with hand ischaemia 5 days after transradial coronary angiography. Urgent angiography demonstrated radial artery occlusion with embolisation to the palmar arch and digital arteries. The ischaemia was refractory to an extensive thrombolytic regimen, and subsequently, the patient was referred to the vascular surgeon for urgent thrombectomy and patch angioplasty. The patient recovered slowly and no amputation was necessary, but complaints of right hand numbness and paresthesia of all digits remained.

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Transradial artery coronary angioplasty

Cited by 269 publications

References 13 publications

Is Transradial Cerebral Angiography Feasible and Safe? A Single Center's Experience

Is Transradial Cerebral Angiography Feasible and Safe? A Single Center's Experience

Comparision of Various Vasodilators Regimen During Radial Corornary Angiogram: A Prospective Randomised Trial

Critical hand ischaemia after transradial cardiac catheterisation: an uncommon complication of a common procedure

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