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https://www.readbyqxmd.com/read/29779974/administration-of-rotaglide%C3%A2-solution-for-treating-refractory-severe-radial-artery-spasm-a-case-report
#1
Vikram Raje, Sanah Christopher, Dennis A Hopkinson, Danielle A Kania, Ion S Jovin
Severe radial artery spasm is a complication of transradial cardiac catheterization. We describe a case of severe radial artery spasm causing catheter entrapment. The spasm was refractory and resistant to intra-arterial vasodilators, systemic vasodilators, and moderate sedation. Rotaglide™ (Boston Scientific, Marlborough, MA) solution via continuous infusion was delivered through the catheter and then the sheath, resolving the spasm and allowing the removal of the catheter and sheath without injury to the radial artery...
May 5, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29778734/association-between-maximal-activated-clotting-time-and-major-bleeding-complications-during-transradial-and-transfemoral-percutaneous-coronary-intervention
#2
David W Louis, Kevin Kennedy, Fabio V Lima, Samir Pancholy, J Dawn Abbott, Paul Gordon, Herbert D Aronow
OBJECTIVES: This study sought to determine whether higher maximal activated clotting time (ACT) during transradial (TR) percutaneous coronary intervention (PCI) is associated with greater bleeding risk. BACKGROUND: Higher maximal ACT during transfemoral (TF) PCI has been associated with a greater bleeding risk. It is unclear whether this relationship exists in the setting of TR PCI. METHODS: Among 14,637 patients undergoing TR or TF PCI with unfractionated heparin monotherapy, the study related maximal ACT to the risk of major bleeding...
May 11, 2018: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/29769165/radial-hemostasis-is-facilitated-with-a-potassium-ferrate-hemostatic-patch-the-statseal-with-tr-band-assessment-trial-stat
#3
Arnold H Seto, William Rollefson, Mitul P Patel, William M Suh, David M Tehrani, Jacqueline A Nguyen, Daniel G Amador, Omid Behnamfar, Vinisha Garg, Mauricio G Cohen
AIMS: Hemostasis is a limiting factor for discharge after uncomplicated transradial procedures. The potassium ferrate hemostatic patch (PFHP) may serve as an adjunct to the air-bladder TR band (TRB) and allow expedited deflation of the TRB. METHODS AND RESULTS: Prospective multicenter randomized controlled trial comparing radial hemostatic protocols. Deflation of the TRB was attempted at 40 minutes with PFHP and at 120 minutes without the PFHP. The primary outcome was time to full deflation of the TRB with hemostasis...
May 15, 2018: EuroIntervention
https://www.readbyqxmd.com/read/29767330/comparison-of-procedural-success-between-two-radial-sheaths-comparison-of-the-6-fr-glidesheath-slender-to-6-fr-standard-sheath
#4
B Gul, M Stolar, B Stair, P Hermany, S Willis, C Mena-Hurtado, R Attaran
BACKGROUND: The most common cause of procedural failure in cardiac catheterization using the transradial approach is radial artery spasm. The aim of this study was to compare the procedural success rate of the 6‑Fr Glidesheath Slender with the 6‑Fr standard sheath in transradial coronary angiography and intervention. METHODS: Patients who underwent percutaneous coronary angiography via the transradial approach through placement of a 6-Fr Glidesheath Slender or a 6-Fr standard sheath for primary radial access were prospectively enrolled in the study...
May 16, 2018: Herz
https://www.readbyqxmd.com/read/29759808/implementation-of-a-clinical-nursing-pathway-for-percutaneous-coronary-intervention-a-prospective-study
#5
Meng Li, Huimin Liu
This study is to evaluate the effect of a clinical nursing pathway (CNP) on the clinical outcomes of the transradial approach for emergency percutaneous coronary intervention (PCI). A total of 118 subjects diagnosed with acute myocardial infarction (AMI) were enrolled in the study. They were randomly divided into a control group receiving conventional nursing and a clinical nursing pathway group. The differences in door-to-balloon time, length of hospital stay, hospitalization cost, postoperative complications, and patient satisfaction with nursing care between the two groups were determined and analyzed statistically...
May 11, 2018: Geriatric Nursing
https://www.readbyqxmd.com/read/29756458/evaluation-of-the-effects-of-adding-vibrotactile-feedback-to-myoelectric-prosthesis-users-on-performance-and-visual-attention-in-a-dual-task-paradigm
#6
Eitan Raveh, Jason Friedman, Sigal Portnoy
OBJECTIVE: To evaluate the effects of adding vibrotactile feedback to myoelectric prosthesis users on the performance time and visual attention in a dual-task paradigm. DESIGN: A repeated-measures design with a counterbalanced order of two conditions. SETTING: Laboratory setting. SUBJECTS: Transradial amputees using a myoelectric prosthesis with normal or corrected eyesight ( N = 12, median age = 65 ± 13 years)...
May 1, 2018: Clinical Rehabilitation
https://www.readbyqxmd.com/read/29753675/patient-radiation-exposure-in-transradial-versus-transfemoral-yttrium-90-radioembolization-a-retrospective-propensity-score-matched-analysis
#7
Joshua Loewenstern, Colton Welch, Safet Lekperic, Vivian Bishay, Mona Ranade, Rahul S Patel, Edward Kim, F Scott Nowakowski, Robert A Lookstein, Aaron M Fischman
PURPOSE: To compare differences in patient radiation exposure (PRE) during transarterial yttrium-90 (90 Y) radioembolization (TARE) between transradial access (TRA) and transfemoral access (TFA). MATERIALS AND METHODS: A total of 810 consecutive first-time TARE procedures in patients from 2013 to 2017 were retrospectively reviewed. A propensity score-matching (PSM) analysis matched TRA and TFA groups on the basis of patient age, sex, weight, height, cancer type, 90 Y microsphere type, and number of previous procedures from the same and opposite approaches...
May 9, 2018: Journal of Vascular and Interventional Radiology: JVIR
https://www.readbyqxmd.com/read/29747919/temporal-trends-in-coronary-angiography-and-percutaneous-coronary-intervention-insights-from-the-va-clinical-assessment-reporting-and-tracking-program
#8
Stephen W Waldo, Madhura Gokhale, Colin I O'Donnell, Mary E Plomondon, Javier A Valle, Ehrin J Armstrong, Richard Schofield, Stephan D Fihn, Thomas M Maddox
OBJECTIVES: The aim of this study was to evaluate temporal trends in characteristics and outcomes among patients referred for invasive coronary procedures within a national health care system for veterans. BACKGROUND: Coronary angiography and percutaneous coronary intervention remain instrumental diagnostic and therapeutic interventions for coronary artery disease. METHODS: All coronary angiographic studies and interventions performed in U...
May 14, 2018: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/29743164/transradial-percutaneous-coronary-intervention-works-great-less-billing
#9
EDITORIAL
Amer Kasim Ardati, David J Cohen
No abstract text is available yet for this article.
May 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29743163/health-economic-analysis-of-access-site-practice-in-england-during-changes-in-practice-insights-from-the-british-cardiovascular-interventional-society
#10
Mamas A Mamas, Jon Tosh, Will Hulme, Nicki Hoskins, George Bungey, Peter Ludman, Mark de Belder, Chun Shing Kwok, Nathalie Verin, Tim Kinnaird, Ewan Bennett, Nick Curzen, James Nolan, Evangelos Kontopantelis
BACKGROUND: Transradial access (TRA) for percutaneous coronary intervention (PCI) is associated with a reduced risk of mortality compared with transfemoral access, access site-related bleeding complications, and shorter length of stay. The budget impact from a healthcare system that has largely transitioned to TRA for PCI has not been previously published. METHODS AND RESULTS: Data from 323 656 patients undergoing PCI between 2010 and 2014 were obtained from the British Cardiovascular Intervention Society database...
May 2018: Circulation. Cardiovascular Quality and Outcomes
https://www.readbyqxmd.com/read/29741966/feminine-identity-and-functional-benefits-are-key-factors-in-women-s-decision-making-about-upper-limb-prostheses-a-case-series
#11
Linda Resnik, Shana Klinger, Anisha Gill, Sarah Ekerholm Biester
PURPOSE: Although the DEKA Arm promises new abilities, it is unclear if women with upper limb amputation are willing to avail themselves of this new technology. The study purpose was to understand key factors and tradeoffs that shape women's attitudes towards the DEKA Arm. METHODS: This case series includes three women with transradial amputation. Structured surveys and semi-guided interviews were administered after completion of in-laboratory training and a home trial of the DEKA Arm...
May 9, 2018: Disability and Rehabilitation. Assistive Technology
https://www.readbyqxmd.com/read/29724974/comparison-of-the-transradial-and-transfemoral-approach-in-treatment-of-chronic-total-occlusions-with-similar-lesion-characteristics
#12
Mustafa Ahmet Huyut, Aylin Hatice Yamaç
OBJECTIVE: There is limited data on the efficacy and the safety of the transradial approach (TRA) for percutaneous coronary intervention (PCI) of chronic total occlusion (CTO), particularly in comparison with the transfemoral approach (TFA) in lesions with similar complexity. METHODS: We included 358 patients, who underwent elective CTO PCI between January 2012 and August 2017 and compared the radial (179 patients) and femoral (179 patients) approaches. The J-CTO score was similar in both groups (TRA, 2...
May 2018: Anatolian Journal of Cardiology
https://www.readbyqxmd.com/read/29718894/transradial-percutaneous-coronary-intervention-for-left-main-bifurcation-lesions-using-7-5-fr-sheathless-guide-catheter
#13
Huiqiang Zhao, Subhash Banerjee, Hui Chen, Hongwei Li
Recent studies have shown sheathless guide catheters (GCs) to be safe and effective during complex lesions such as bifurcations, chronic total occlusion (CTO), and/or calcified lesions. We investigated the feasibility and safety of using 7.5-Fr sheathless GC for transradial percutaneous coronary intervention (PCI) to treat left main bifurcation lesions.A total of 82 patients were consecutively enrolled from March 2013 to February 2016. They underwent transradial PCI for left main bifurcation lesions using the 7...
May 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29716803/pericallosal-aneurysm-coiling-with-a-hubbed-167-cm-0-013%C3%A2-headway-duo-via-a-transradial-approach
#14
Bradley A Gross, Cynthia L Kenmuir, William J Ares, Ashutosh P Jadhav, Tudor G Jovin, Brian T Jankowitz
Cerebral aneurysms in patients with extreme proximal tortuosity may contraindicate endovascular therapy as a result of both the approach and an inability to navigate a coil-compatible microcatheter into the aneurysm due to microcatheter length. We present a 72 year-old male with multiple medical comorbidities admitted with a grade 3, ruptured pericallosal aneurysm. Aortoiliac disease contraindicated a transfemoral approach and thus a 6 French 105 cm guide catheter was advanced through a 6 French short radial sheath into a bovine left common carotid artery...
April 28, 2018: Journal of Clinical Neuroscience: Official Journal of the Neurosurgical Society of Australasia
https://www.readbyqxmd.com/read/29716478/bidirectional-transradial-and-transfemoral-approach-for-stent-assisted-coil-embolization-of-right-subclavian-artery-saccular-aneurysm
#15
Jin Kyung Oh, Jae-Hwan Lee
Subclavian artery aneurysms are rare lesions that usually require treatment for complications. Bidirectional stent-assisted coil embolization is the most effective treatment of complex wide-necked aneurysms. The stents provide a rigid scaffold that allows coil deposition with reduced risk of coil herniation into the parent vessel lumen. Bidirectional transradial and transfemoral approaches contribute to stable procedure. We report a successful bidirectional stent-assisted coil embolization of a saccular aneurysm of the subclavian artery as an alternative to stent graft implantation to diminish the risk of right vertebral artery occlusion...
January 1, 2018: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/29699748/a-randomized-double-blind-placebo-controlled-study-comparing-intracoronary-versus-intravenous-abciximab-in-patients-with-st-elevation-myocardial-infarction-undergoing-transradial-rescue-percutaneous-coronary-intervention-after-failed-thrombolysis
#16
Olivier F Bertrand, Éric Larose, Rodrigo Bagur, Frédéric Maes, Valérie Gaudreault, Bernard Noël, Gérald Barbeau, Jean-Pierre Déry, Charles Pirlet, Olivier Costerousse
The risk and benefit ratio of glycoprotein IIb/IIIa inhibitors with dual oral antiplatelet therapy after failed thrombolysis and rescue percutaneous coronary intervention (PCI) is unclear. Using a randomized placebo-controlled, double-blind design, we compared intravenous (IV) and intracoronary (IC) abciximab delivery in 74 patients referred for rescue transradial PCI. The primary angiographic end points were the final thrombolysis in myocardial infarction flow and myocardial blush grades. Secondary end points included acute and 6-month outcomes using angiographic parameters, platelet aggregation parameters, cardiac biomarkers, cardiac magnetic resonance measurements (CMR) and clinical end points...
March 28, 2018: American Journal of Cardiology
https://www.readbyqxmd.com/read/29689443/the-effect-of-time-on-emg-classification-of-hand-motions-in-able-bodied-and-transradial-amputees
#17
Asim Waris, Imran Khan Niazi, Mohsin Jamil, Omer Gilani, Kevin Englehart, Winnie Jensen, Muhammad Shafique, Ernest Nlandu Kamavuako
While several studies have demonstrated the short-term performance of pattern recognition systems, long-term investigations are very limited. In this study, we investigated changes in classification performance over time. Ten able-bodied individuals and six amputees took part in this study. EMG signals were recorded concurrently from surface and intramuscular electrodes, with intramuscular electrodes kept in the muscles for seven days. Seven hand motions were evaluated daily using linear discriminant analysis and the classification error quantified within (WCE) and between (BCE) days...
April 17, 2018: Journal of Electromyography and Kinesiology
https://www.readbyqxmd.com/read/29685717/transradial-secondary-access-to-guide-valve-implantation-and-manage-peripheral-vascular-complications-during-transcatheter-aortic-valve-implantation
#18
Matthew W P Jackson, Douglas F Muir, Mark A de Belder, Sonny Palmer, W Andrew Owens, Andrew Goodwin, Umair Hayat, Paul D Williams
BACKGROUND: Vascular complications from transfemoral (TF) secondary access during transcatheter aortic valve implantation (TAVI) are common. We compare our experience of transradial versus transfemoral secondary access during TAVI and describe techniques for performing iliofemoral arterial intervention from the transradial approach. METHODS: All TAVI procedures with a single secondary access were included. Demographics, procedural details and 30-day outcomes were recorded...
March 10, 2018: Heart, Lung & Circulation
https://www.readbyqxmd.com/read/29682356/mediastinal-hematoma-and-tracheal-compression-following-transradial-percutaneous-coronary-intervention
#19
Nathaniel R Smilowitz, Muhamed Saric, Michael J Attubato, James N Slater
Vascular complications from transradial percutaneous coronary intervention (PCI) are rare. We report an unusual case of stridor after PCI due to brachiocephalic artery perforation, pseudoaneurysm formation, and development of a large mediastinal hematoma with tracheal compression. Endovascular repair of the brachiocephalic artery was achieved with covered stent placement at the neck of the pseudoaneurysm. This case highlights the importance of careful guide catheter placement from the right radial approach...
2018: Case Reports in Cardiology
https://www.readbyqxmd.com/read/29667233/ankaferd-blood-stopper-as-a-new-strategy-to-avoid-early-complications-after-transradial-procedures-a-randomized-clinical-trial
#20
Sevket Gorgulu, Tugrul Norgaz, Ilke Sipahi
BACKGROUND: We planned a three arm randomized study to evaluate the safety and efficacy of a new blood stopper, Ankaferd blood stopper (ABS) along with short-time compression, compared to either short-time compression with conventional sterile gauzes (CSG) or with a TR band after transradial (TRA) procedures. METHODS: The Ankaferd blood stopper as a new strategy to avoid early complications. After transradial procedures (ABS transradial) trial is designed in a prospective, randomized, placebo-controlled fashion and registered with http://clinicaltrials...
April 17, 2018: Journal of Interventional Cardiology
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