Transradial coronary intervention without pre-screening for a dual palmar blood supply

Ghuran, Azad; Dixon, G; Holmberg, Stephen; Belder, Adam de; Hildick‐Smith, David

doi:10.1016/j.ijcard.2006.11.009

Cited by 46 publications

(29 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…The Allen test was not routinely performed for examining collateral patency, as it has not been shown to improve transradial complication rates. 14 …”

Section: -13mentioning

confidence: 99%

Comparison of Transradial vs Transfemoral Access for Aortoiliac and Femoropopliteal Interventions

et al. 2016

View full text Add to dashboard Cite

Purpose: To compare the procedure and safety outcomes of the transradial approach (TRA) with the femoral approach (FA) for treating aortoiliac and femoropopliteal stenoses and occlusions. Methods: A single-center retrospective study was conducted involving 188 patients (mean age 66.4±10.8 years; 116 men) with lower limb claudication or critical limb ischemia who underwent aortoiliac (131, 62.4%) or femoropopliteal (79, 37.6%) interventions on 210 lesions over a 3-year period. Operator discretion determined TRA suitability; exclusions included Raynaud’s disease, upper limb occlusive disease, previous TRA difficulties, or planned hemodialysis. Lesion characteristics, clinical endpoints, and access site complications were compared. Results: FA was used primarily in 123 patients and the TRA (12 left and 53 right radial arteries) in 65 procedures. Eleven (16.9%) TRAs failed vs 9 (7.3%) FAs (p=0.42). Crossover to FA was due to occlusive lesions requiring alternative equipment in 9 cases and to tortuosity of the aortic arch vessels in 2 patients. The 134 FA interventions (balloon angioplasty, stents) were retrograde (112, 83.6%) or antegrade (22, 16.4%). There were significantly more TASC C/D lesions in the FA group (p=0.02). Sheath sizes (5-F to 8-F) did not differ between groups, and no significant differences were found between FA vs TRA in terms of procedure time (50.0±28.9 vs 46.8±25.1 minutes, p=0.50) or length of stay (2.2±0.6 vs 2.1±0.3 days, p=0.24). While there were no strokes, access site complications occurred in 6.0% of the FA patients vs 3.7% of the TRA patients (p=0.12). Conclusion: The transradial approach for aortoiliac and femoropopliteal interventions is safe and efficacious compared with the transfemoral approach for a range of lesion subtypes. Nevertheless, there remains a need for improvements in peripheral device and catheter technology to decrease transradial failure rates.

show abstract

“…The Allen test was not routinely performed for examining collateral patency, as it has not been shown to improve transradial complication rates. 14 …”

Section: -13mentioning

confidence: 99%

Comparison of Transradial vs Transfemoral Access for Aortoiliac and Femoropopliteal Interventions

et al. 2016

View full text Add to dashboard Cite

show abstract

“…This is consistent with what has been previously published despite the presence of documented radial artery occlusions. [21,22].…”

Section: Limitationsmentioning

confidence: 99%

Safety of same day discharge following percutaneous coronary intervention

Herman

2011

Heart, Lung and Circulation

View full text Add to dashboard Cite

“…This suggests that the hand circulation is very resilient and the sequela of hand ischemia is at least rare. Ghuran et al [21] assesses the safety of transradial percutaneous intervention without prescreening for a dual palmar blood supply in 630 patients, and does not find any patient with hand ischemia, suggesting that it may not be necessary to evaluate the patency of the ulnar-palmar arches using the modified Allen's test or plethysmography. In our study, to reduce the complication related with transradial approach, we exclude the patients with severely abnormal Allen's test (the time of more than 15 s).…”

Section: Discussionmentioning

confidence: 99%

Feasibility and application of single 5F multipurpose catheter in coronary and peripheral angiography via a transradial approach

Fang

Yang²,

Wang

et al. 2011

International Journal of Cardiology

View full text Add to dashboard Cite

Transradial coronary intervention without pre-screening for a dual palmar blood supply

Cited by 46 publications

References 12 publications

Comparison of Transradial vs Transfemoral Access for Aortoiliac and Femoropopliteal Interventions

Comparison of Transradial vs Transfemoral Access for Aortoiliac and Femoropopliteal Interventions

Safety of same day discharge following percutaneous coronary intervention

Feasibility and application of single 5F multipurpose catheter in coronary and peripheral angiography via a transradial approach

Contact Info

Product

Resources

About