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https://www.readbyqxmd.com/read/28209942/balloon-assisted-tracking-for-challenging-transradial-percutaneous-coronary-intervention
#1
Maria Agelaki, Michael Koutouzis
No abstract text is available yet for this article.
February 2017: Anatolian Journal of Cardiology
https://www.readbyqxmd.com/read/28209303/acute-compartment-syndrome-of-the-hand-after-transradial-catheterization
#2
Josebe Goirigolzarri-Artaza, Raquel Casado-Álvarez, Jaime Benítez-Peyrat, Ebrey León-Aliz, Javier Goicolea, Arturo García-Touchard
No abstract text is available yet for this article.
February 10, 2017: Revista Española de Cardiología
https://www.readbyqxmd.com/read/28196898/increased-radial-access-is-not-associated-with-worse-femoral-outcomes-for-percutaneous-coronary-intervention-in-the-united-kingdom
#3
William Hulme, Matthew Sperrin, Evangelos Kontopantelis, Karim Ratib, Peter Ludman, Alex Sirker, Tim Kinnaird, Nick Curzen, Chun Shing Kwok, Mark De Belder, James Nolan, Mamas A Mamas
BACKGROUND: The radial artery is increasingly adopted as the primary access site for cardiac catheterization because of patient preference, lower bleeding rates, cost effectiveness, and reduced risk of mortality in high-risk patient groups. Concerns have been expressed that operators/centers have become increasingly unfamiliar with transfemoral access. The aim of this study was to assess whether a change in access site practice toward transradial access nationally has led to worse outcomes in percutaneous coronary intervention procedures performed through the transfemoral access approach...
February 2017: Circulation. Cardiovascular Interventions
https://www.readbyqxmd.com/read/28191515/medicolegal-implications-of-radial-and-femoral-access-for-coronary-angiography-and-intervention-in-2016-focus-on-retroperitoneal-hemorrhage
#4
Konstantinos V Voudris, Mladen I Vidovich
BACKGROUND AND OBJECTIVES: Retroperitoneal hemorrhage is a rare but serious complication of transfemoral approach (TFA) and TFA percutaneous coronary intervention (PCI). Radial approach for coronary angiography and intervention (transradial approach, TRA) is associated with lower access site complications and reduced blood transfusion rates. Retroperitoneal bleeding has not been described with TRA. This study sought to evaluate the relationship between femoral access for coronary angiography (TFA) and PCI-induced retroperitoneal hemorrhage and the resulting medical litigation in the United States...
April 1, 2016: Journal of Translational Internal Medicine
https://www.readbyqxmd.com/read/28183464/transradial-coronary-interventions-for-complex-chronic-total-occlusions
#5
Yutaka Tanaka, Noriaki Moriyama, Tomoki Ochiai, Takuma Takada, Kazuki Tobita, Koki Shishido, Kazuya Sugitatsu, Futoshi Yamanaka, Shingo Mizuno, Masato Murakami, Junya Matsumi, Saeko Takahashi, Takeshi Akasaka, Shigeru Saito
OBJECTIVES: The aims of this study were to assess whether the transradial approach can be applied to treat complex chronic total occlusion (CTO) and to determine the predictors of transradial percutaneous coronary intervention (PCI) failure. BACKGROUND: Consistent data on the outcomes of transradial PCI for treating CTO are scarce. METHODS: Consecutive patients who were not receiving hemodialysis and had undergone PCI for CTO were enrolled...
February 13, 2017: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/28180008/use-of-orbital-atherectomy-in-acute-myocardial-infarction-via-the-transradial-approach
#6
REVIEW
Samer Mowakeaa, Branden Snyder, Nikolaos Kakouros
Severe coronary artery calcifications pose an ongoing challenge when performing percutaneous coronary interventions, resulting in an increased likelihood of procedural complications. Orbital atherectomy (OA) has emerged as a promising technology that helps improve outcomes in this complex patient population. Its safety and efficacy are yet to be demonstrated in the setting of acute myocardial infarction. We present a case of a patient with acute ST-elevation myocardial infarction (STEMI) evaluated with emergent transradial coronary angiography...
December 2016: Interventional Medicine & Applied Science
https://www.readbyqxmd.com/read/28164311/flow-and-diameter-changes-of-forearm-arteries-during-temporary-unilateral-reciprocal-occlusion-a-prospective-observational-study
#7
Hatice Kaplanoglu, Osman Beton
PURPOSE: Transradial and transulnar artery approaches are commonly used for percutaneous interventions, with considerably low risk of developing hand ischemia, for reasons that have not been fully understood. The aim of this study was to evaluate the changes in the diameter, peak systolic flow velocity (PSV), and volume flow (VF) of the radial (RA) and ulnar artery (UA) during unilateral reciprocal temporary occlusion. METHODS: A total of 204 extremity arteries of 102 consecutive patients were evaluated using Doppler ultrasonography...
February 6, 2017: Journal of Clinical Ultrasound: JCU
https://www.readbyqxmd.com/read/28159821/randomized-trial-of-compression-duration-after-transradial-cardiac-catheterization-and-intervention
#8
Shahar Lavi, Asim Cheema, Andrew Yadegari, Zeev Israeli, Yaniv Levi, Sabrina Wall, Mistre Alemayehu, Yasir Parviz, Bogdan-Dorian Murariu, Terry McPherson, Jaffer Syed, Rodrigo Bagur
BACKGROUND: Radial artery occlusion is a known complication following transradial cardiac catheterization. A shorter duration of postprocedural radial clamp time may reduce radial artery occlusion (RAO) but might be associated with incomplete hemostasis. METHODS AND RESULTS: In total, 568 patients undergoing transradial diagnostic cardiac catheterization were randomly assigned to either 20 minutes (ultrashort) or 60 minutes (short) hemostatic compression time using patent hemostasis...
February 3, 2017: Journal of the American Heart Association
https://www.readbyqxmd.com/read/28150279/can-radial-artery-pulse-grading-predict-radial-artery-spasm-during-transradial-approach
#9
Ertuğrul Zencirci, Aleks Değirmencioğlu
BACKGROUND AND AIM: Radial artery spasm (RAS) has been defined as the one of the major disadvantage of transradial approach. The aim of this study was to investigate the predictive value of radial artery pulse grading on RAS during transradial approach. METHODS: The present study prospectively included 115 consecutive patients who underwent transradial coronary catheterization at a single center. Patients were divided into two groups: those with RAS and those without...
February 2, 2017: Kardiologia Polska
https://www.readbyqxmd.com/read/28119043/current-practice-of-transradial-approach-for-coronary-procedures-a-survey-by-the-italian-society-of-interventional-cardiology-sici-gise-and-the-italian-radial-club
#10
Stefano Rigattieri, Orazio Valsecchi, Alessandro Sciahbasi, Francesco Tomassini, Ugo Limbruno, Alfredo Marchese, Alessio La Manna, Ciro Mauro, Ferdinando Varbella, Segio Berti, Fabio F Tarantino, Giuseppe Musumeci
BACKGROUND: Transradial approach (TRA) for percutaneous coronary procedures is associated with improved patient outcome and is being increasingly adopted worldwide. We surveyed Italian interventional cardiologists in order to take a snapshot of the current practice of TRA. METHODS: A web-based questionnaire was emailed to all members of the Italian Society of Interventional Cardiology. RESULTS: The survey was taken by 508 respondents. Cardiogenic shock and chronic total occlusions represented the principal limitations to TRA...
January 17, 2017: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/28114856/a-novel-technique-to-reduce-contrast-exposure-during-subclavian-interventions
#11
Saurabh Sanon, Gregory W Barsness, Rajiv Gulati
We describe a novel technique to minimize total body contrast exposure during endovascular angiography. A patient with severe renal impairment and history of contrast-induced nephropathy was referred for subclavian artery intervention. Angiography and intervention was performed via transfemoral access, while a transradial sheathless-guiding catheter was used to aspirate injected contrast/blood mix from the downstream axillary artery. Semiquantitative analysis indicated approximately 50% of the injected contrast was retrieved...
January 1, 2017: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28105561/the-rise-and-fall-of-anticoagulation-with-bivalirudin-during-percutaneous-coronary-interventions-a-review-article
#12
REVIEW
Constantinos Andreou, Christos Maniotis, Michael Koutouzis
Bivalirudin is a direct thrombin inhibitor used during percutaneous coronary intervention (PCI). Treatment with bivalirudin compared to heparin plus glycoprotein IIb/IIIa inhibitors (GPI) reduced bleeding complications, but resulted in higher rates of ischemic events, including acute stent thrombosis in ST segment elevation myocardial infarction (STEMI) patients. Thus, it may be considered a reasonable alternative antithrombotic agent in patients at high risk of bleeding undergoing PCI. However its superiority over heparin alone is questioned particularly in the era of novel antiplatelet agents and transradial PCI...
January 19, 2017: Cardiology and Therapy
https://www.readbyqxmd.com/read/28100968/direct-measurement-of-left-atrial-pressure-during-routine-transradial-catheterization
#13
Faisal Fa'ak, Bahaeddin Shabaneh, George Younis
Left atrial pressure indicates the left ventricular filling pressure in patients who have systolic or diastolic left ventricular dysfunction or valvular heart disease. The use of indirect surrogate methods to determine left atrial pressure has been essential in the modern evaluation and treatment of cardiovascular disease because of the difficulty and inherent risks associated with direct methods (typically the transseptal approach). One method that has been widely used to determine left atrial pressure indirectly is Swan-Ganz catheterization, in which a balloon-flotation technique is applied to measure pulmonary capillary wedge pressure; however, this approach has been associated with several limitations and potential risks...
December 2016: Texas Heart Institute Journal
https://www.readbyqxmd.com/read/28091278/brief-activity-performance-measure-for-upper-limb-amputees-bam-ula
#14
Linda Resnik, Matthew Borgia, Frantzy Acluche
BACKGROUND: Measures of activity performance for adults with upper limb amputation are needed. The purposes of this study were to evaluate the measurement properties of a new measure of activity performance for adults with upper limb amputation, which we call the Brief Activity Measure for Upper Limb Amputees (BAM-ULA) and to compare BAM-ULA scores for users of different types of prostheses. METHODS: In all, 35 persons with upper limb amputation were administered the BAM-ULA, twice within 1 week...
January 1, 2017: Prosthetics and Orthotics International
https://www.readbyqxmd.com/read/28089778/image-noise-reduction-technology-reduces-radiation-in-a-radial-first-cardiac-catheterization-laboratory
#15
Ateka Gunja, Yagya Pandey, Hui Xie, Beata M Wolska, Adhir R Shroff, Amer K Ardati, Mladen I Vidovich
BACKGROUND: Transradial coronary angiography (TRA) has been associated with increased radiation doses. We hypothesized that contemporary image noise reduction technology would reduce radiation doses in the cardiac catheterization laboratory in a typical clinical setting. METHODS AND RESULTS: We performed a single-center, retrospective analysis of 400 consecutive patients who underwent diagnostic and interventional cardiac catheterizations in a predominantly TRA laboratory with traditional fluoroscopy (N=200) and a new image noise reduction fluoroscopy system (N=200)...
December 27, 2016: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/28077091/transradial-versus-transfemoral-approach-for-coronary-angiography-and-angioplasty-a-prospective-randomized-comparison
#16
Fayaz Ahmad Bhat, Khalid Hamid Changal, Hameed Raina, Nisar Ahmad Tramboo, Hilal Ahmad Rather
BACKGROUND: PCI has been done traditionally through transfemoral route. But now transradial and transbrachial routes are also coming up in practice. We compared transradial versus transfemoral routes for ease of operability, time for procedure, complications, and failure rates through a prospective study. METHODS: Four hundred Patients admitted in department of cardiology for percutaneous interventions were enrolled in the study. 200 patients were assigned to each group randomly...
January 11, 2017: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/28056519/comparison-of-transradial-and-transfemoral-approaches-in-women-undergoing-percutaneous-coronary-intervention-in-china
#17
Chen Jin, Yi Xu, Shubin Qiao, Xinran Tang, Yongjian Wu, Hongbing Yan, Kefei Dou, Bo Xu, Jingang Yang, Ying Xian, Yuejin Yang
Despite increasing adoption of the transradial approach for percutaneous coronary intervention (PCI) in clinical practice, the role of transradial intervention (TRI) in women remains a significant debate. We identified 1392 women from a consecutive cohort of patients undergoing PCI in China in 2010 and compared the efficacy and hospital costs between TRI and transfemoral intervention. An inverse probability weighting (IPW) method was used to control for potential bias. After IPW adjustment, patients receiving TRI were less likely to experience post-PCI bleeding (adjusted odds ratio [OR]: 0...
January 1, 2017: Angiology
https://www.readbyqxmd.com/read/28044985/radiation-dose-absorbed-by-operators-during-transradial-percutaneous-coronary-procedures-comparing-different-protective-drapes-the-radiation-study
#18
Alessandro Sciahbasi, Stefano Rigattieri, Alessandro Sarandrea, Maria Cera, Cristian Di Russo, Silvio Fedele, Silvio Romano, Francesco Rocco Pugliese, Maria Penco
AIMS: To compare different radiation protection drapes in term of radiation dose absorbed by operators during right or left transradial procedures. METHODS AND RESULTS: Patients who underwent transradial coronary procedures were randomized initially in 4 groups: Group 1 (no drapes), Group 2 (drape on patient's arm), Group 3 (pelvic drape), Group 4 (combined arm and pelvic drapes). Subsequently each group was further randomized to right or left radial access. The primary end-point was the operator radiation dose at thorax...
January 3, 2017: EuroIntervention
https://www.readbyqxmd.com/read/28031669/arteria-lusoria-and-superdominant-right-coronary-artery-two-rare-arterial-anomalies-diagnosed-during-transradial-coronary-catheterization
#19
Miloslav Spacek, David Zemanek, Josef Veselka
We present a case report of two rare arterial anomalies diagnosed during transradial coronary catheterization-arteria lusoria (aberrant right subclavian artery) and superdominant right coronary artery. Importantly, these anomalies may cause difficulty in performance or interpretation of catheterization procedure, especially in urgent situation and with wide acceptance of transradial approach. To the best of our knowledge, the combination of these anomalies has never been described in the literature.
December 2016: International Journal of Angiology: Official Publication of the International College of Angiology, Inc
https://www.readbyqxmd.com/read/28029531/a-novel-risk-model-including-vascular-access-site-for-predicting-30-day-mortality-after-primary-pci-the-alpha-score
#20
Istvan Hizoh, Zalan Gulyas, Dominika Domokos, Gyongyver Banhegyi, Zsuzsanna Majoros, Laszlo Major, Timea Ratkai, Robert Gabor Kiss
BACKGROUND: The mortality benefit of transradial primary PCI has been shown by several studies. Previous risk models have not considered access site as a candidate predictor and many of them were developed using low risk populations of randomized trials. We conducted a prospective cohort study to construct and validate an admission risk model including access site as candidate variable for predicting 30-day mortality after primary PCI. METHODS: We analyzed data of 1255 patients using variables readily available at presentation...
January 2017: Cardiovascular Revascularization Medicine: Including Molecular Interventions
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