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

Abstract

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.

Safety and feasibility of upper limb vascular access for cardiac catheterization in anticoagulated and non-anticoagulated patients

“…6 Notably, our group has demonstrated high applicability of an ultrasound-guided antecubital approach in patients undergoing right heart catheterization. 7 Furthermore, our previously published experience has demonstrated that the ultrasound-guided upper limb approach has a high success rate and minimal immediate vascular complications.…”