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https://www.readbyqxmd.com/read/27921153/prone-transradial-catheterization-for-combined-single-session-transarterial-embolization-and-percutaneous-posterior-approach-cryoablation-of-solid-neoplasms
#1
Jeffrey Forris Beecham Chick, Casey Branach, Bill Saliba Majdalany, J Matthew Meadows, Douglas A Murrey, Wael A Saad, Minhaj S Khaja, Kyle J Cooper, Matthew L Osher, Ravi Nara Srinivasa
Transradial access (TRA) has been associated with improved post-procedure hemostasis and patient satisfaction, and decreased hemorrhagic complications, sedation requirements, recovery times, and procedure-related costs when compared with traditional transfemoral catheterization. Supine TRA has been described for the treatment of myocardial infarctions, aortoiliac and femoropopliteal stenoses, and a variety of neoplasms. This original research describes prone transradial catheterization to facilitate combined single-session transarterial embolization and percutaneous cryoablation of solid neoplasms from a posterior approach without repositioning...
December 5, 2016: Cardiovascular and Interventional Radiology
https://www.readbyqxmd.com/read/27910134/effectiveness-of-handmade-jacky-like-catheter-as-a-single-multipurpose-catheter-in-transradial-coronary-angiography-a-randomized-comparison-with-conventional-two-catheter-strategy
#2
Ismail Erden, Ebru Golcuk, Serdar Bozyel, Emine Cakcak Erden, Yakup Balaban, Kivanc Yalın, Burak Turan
OBJECTIVE: To investigate safety and efficacy of specialized hand-modified "Jacky-Like" catheter (JLC) as a single dual-purpose catheter in transradial coronary angiography. METHODS: Patients over 18 years undergoing diagnostic CAG through right radial artery (RRA) were prospectively enrolled. Procedures were performed with a single JLC modified from a left Judkins (JL) 3.5 catheter or by using 2-catheter approach (2C). Procedures with coronary artery bypass grafts or ventricular angiographies were excluded from the study...
December 2, 2016: Journal of Interventional Cardiology
https://www.readbyqxmd.com/read/27902608/transient-ulnar-artery-compression-facilitates-transradial-access
#3
Zhi-Ming Zhou, Zhen-Xian Yan, Bin Nie, Yong-He Guo, Yu-Jie Zhou
BACKGROUND: Unsuccessful radial artery puncture is one of the important causes of transradial procedure failure. Ulnar artery compression made the radial artery pulse stronger. Whether it would make transradial access easier, however, is uncertain. METHODS: A prospective randomized controlled trial was conducted among 446 patients who planned for transradial cardiac catheterization. Patients were randomized to receiving either transient ulnar artery compression (UC) or standard treatment (standard) for half an hour prior to needle insertion (217 UC, 229 standard)...
November 2016: Medicine (Baltimore)
https://www.readbyqxmd.com/read/27899945/transradial-approach-for-coronary-procedures-in-the-elderly-population
#4
REVIEW
Shamsi Aamir, Shah Mohammed, Rathore Sudhir
Transradial cardiac catheterisation has been reported to be more beneficial compared to other approaches with easier and safer post-procedural haemostasis, better patient comfort, earlier ambulation and possibility of performing procedure and discharge on the same day. There is only limited data examining transradial access in the elderly population. In this review we looked at the available literature to give an insight into how the transradial approach compared to the transfemoral and other approaches in the elderly population...
September 2016: Journal of Geriatric Cardiology: JGC
https://www.readbyqxmd.com/read/27896704/external-and-internal-compressions-to-retrieve-a-kinked-catheter-in-the-right-brachial-artery
#5
Keisuke Nakabayashi, Naomi Kawakatsu, Naomi Nakazawa, Toshiaki Suzuki, Hisayuki Okada, Toshiaki Oka
Kinking of the catheter due to excessive rotation is not a rare complication. However, percutaneous retrieval of a kinked catheter can be difficult. The key to bailout is fixation of the catheter tip. Herein, we present a 78-year-old woman who had this complication during transradial angiography. Retrieval using several previously reported techniques was unsuccessful. We finally retrieved the kinked catheter by fixing the tip of the catheter, using external and internal compressions. The former comprises manual compression on the axillary artery, while the latter comprises deployment of a balloon catheter via another puncture site...
November 28, 2016: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/27889310/barriers-for-transradial-coronary-angiography-and-interventions-in-2016
#6
REVIEW
Sumit Som, Ankitkumar K Patel, Virender Sethi, Haroon Faraz, Irfan Admani, Atish Mathur, Joseph E Parrillo, Pranaychandra Vaidya
No abstract text is available yet for this article.
November 10, 2016: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/27885510/left-main-crossover-stenting-in-a-patient-with-severe-thrombocytopenia-due-to-aplastic-anemia
#7
Marie Nishikawa, Jun Shiraishi, Muneo Ohshiro, Masaki Yashige, Masayuki Hyogo, Takahisa Sawada
A 76-year-old man with aplastic anemia presented with recurrent acute myocardial infarction (AMI) with heart failure. After the initial appearance of AMI approximately 2 months earlier, he had received conservative treatment/transfusion alone because of severe thrombocytopenia and anemia (platelet 11 × 10(3)/μL, hemoglobin 6.4 g/dL). Refractory heart failure persisted despite repeated conservative treatment/transfusion for the second AMI, and therefore, we performed transradial coronary angiography and left main crossover stenting with a bare metal stent...
November 24, 2016: Cardiovascular Intervention and Therapeutics
https://www.readbyqxmd.com/read/27885351/coronary-angiography-safety-between-transradial-and-transfemoral-access
#8
Santosh Kumar Sinha, Vikas Mishra, Nasar Afdaali, Mukesh Jitendra Jha, Ashutosh Kumar, Mohammad Asif, Ramesh Thakur, Chandra Mohan Varma
Background and Aim. The aim of study was to evaluate safety, feasibility, and procedural variables of transradial approach compared with transfemoral approach in a standard population of patients undergoing coronary catheterization as one of the major criticisms of the transradial approach is that it takes longer overall procedure and fluoroscopy time, thereby causing more radiation exposure. Method. Between January 2015 and December 2015, a total of 1,997 patients in LPS Institute of Cardiology, GSVM Medical College, Kanpur, UP, India, undergoing coronary catheterization were randomly assigned to the transradial or transfemoral approach...
2016: Cardiology Research and Practice
https://www.readbyqxmd.com/read/27866135/endothelial-dysfunction-and-the-occurrence-of-radial-artery-spasm-during-transradial-coronary-procedures-the-acra-spasm-study
#9
Dirk van der Heijden, Maarten A H van Leeuwen, Gladys N Janssens, Jailen Hermie, Mattie J Lenzen, Marco J P F Ritt, Peter M van de Ven, Ferdinand Kiemeneij, Niels van Royen
AIMS: The aim of this study was to analyse the relation between endothelial dysfunction (ED) and the occurrence of radial artery spasm (RAS) during transradial coronary procedures. METHODS AND RESULTS: From May 2014 to June 2015, endothelial function was assessed by EndoPAT and FMD before the procedure in 165 patients referred for coronary angiography or intervention. The primary endpoint was RAS, defined by patient's symptoms and procedural characteristics. The mean age of the study population was 63 years and 71% were male...
November 20, 2016: EuroIntervention
https://www.readbyqxmd.com/read/27865181/radial-artery-diameter-does-not-correlate-with-body-mass-index-a-duplex-ultrasound-analysis-of-1706-patients-undergoing-trans-radial-catheterization-at-three-experienced-radial-centers
#10
Surya Dharma, Sasko Kedev, Tejas Patel, Sunil V Rao, Olivier F Bertrand, Ian C Gilchrist
BACKGROUND: We examined whether the radial artery diameter is correlated with body mass index (BMI) in patients undergoing transradial catheterization. METHODS: 1706 patients undergoing trans-radial catheterization at three experienced, high-volume, radial centers were analyzed. Radial and ulnar artery diameters were determined by ultrasound in the distal third of the forearm one day post procedure. Pearson correlation test was used to measure the relationship between continuous variables...
November 11, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27863361/transradial-approach-for-coronary-angiography-and-intervention-in-the-elderly-a-meta-analysis-of-777-841-patients
#11
Sami M Alnasser, Akshay Bagai, Sanjit S Jolly, Warren J Cantor, Payam Dehghani, Sunil V Rao, Asim N Cheema
BACKGROUND: Studies showing an advantage of transradial approach (TR) for coronary angiography and intervention (PCI) compared to the transfemoral approach (TF) predominantly included a younger population. Therefore, we conducted a meta-analysis of published studies to determine the efficacy of TR in the elderly population. METHODS AND RESULTS: A comprehensive search identified 16 studies [3 randomized controlled studies, 13 observational] comprising 777,841 elderly patients undergoing PCI...
November 10, 2016: International Journal of Cardiology
https://www.readbyqxmd.com/read/27862827/comparison-of-radiation-exposure-during-transradial-diagnostic-coronary-angiography-with-single-or-multi-catheters-approach
#12
Guillaume Plourde, Eltigani Abdelaal, Jimmy MacHaalany, Goran Rimac, Yann Poirier, Jean Arsenault, Olivier Costerousse, Olivier F Bertrand
OBJECTIVE: To compare radiation exposure during transradial diagnostic coronary angiography (DCA) using standard single- or multi-catheters with different shapes. BACKGROUND: Transradial DCA can be performed using single- or multi-catheters to canulate left and right coronary ostia. To date, it remains unknown whether there are differences in radiation exposure between the two strategies. METHODS: From November 2012 to June 2014, 3,410 consecutive patients who underwent transradial DCA were recruited...
November 10, 2016: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/27860277/comparison-of-transradial-and-transfemoral-access-in-patients-undergoing-percutaneous-coronary-intervention-for-complex-coronary-lesions
#13
Edward Koifman, Michael A Gaglia, Ricardo O Escarcega, Nelson L Bernardo, Robert A Lager, Robert A Gallino, Itsik Ben-Dor, Augusto D Pichard, Nevin C Baker, Michael J Lipinski, Sarkis Kiramijyan, Smita I Negi, Rebecca Torguson, Jiaxiang Gai, William O Suddath, Lowell F Satler, Ron Waksman
OBJECTIVE: Comparison of transradial versus transfemoral access for complex percutaneous coronary intervention (PCI) with regard to both complications and long-term outcomes. BACKGROUND: Radial access has been shown to confer superior results in patients undergoing PCI, especially in patients with acute coronary syndromes. However, radial access has limitations of sheath and device size, which may increase procedure time and result in inferior outcomes. METHODS: Patients undergoing PCI for complex lesions, defined as type C according the ACC/AHA classification system, were included in this study...
November 10, 2016: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/27846110/effects-of-topical-medications-on-radial-artery-spasm-in-patients-undergoing-transradial-coronary-procedures-a-systematic-review-protocol
#14
Elizabeth Curtis, Ritin Fernandez, Astin Lee
The objective is to identify the effectiveness of topical medications in reducing radial artery spasm in patients undergoing transradial coronary procedures.
October 2016: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/27845507/updates-on-radial-approach-for-percutaneous-coronary-intervention-in-patients-with-chronic-total-occlusion
#15
Lazzaro Paraggio, Francesco Burzotta, Cristina Aurigemma, Carlo Trani
INTRODUCTION: Radial approach is the emerging arterial access for percutaneous coronary interventions (PCIs) in patients with coronary artery disease. EVIDENCE ACQUISITION: Among the different subset of complex targets for PCI, chronic total occlusion (CTO) still represent a challenge for the interventional cardiologist. Is radial approach suitable for PCI on CTO? A series of data collected in selected centres with high volume of transradial procedures supported the change from elective transfemoral approach to systematic transradial approach...
November 15, 2016: Minerva Cardioangiologica
https://www.readbyqxmd.com/read/27842658/radial-artery-occlusion-after-cardiac-catheterization-significance-risk-factors-and-management
#16
Rohan Goswami, Carrie S Oliphant, Haidy Youssef, Mohamed Morsy, Rami N Khouzam
Multiple modifiable risk factors have been proposed to decrease the likelihood of developing radial artery occlusion (RAO) in patients who undergo transradial (TR) catheterization. RAO, the most significant complication for these patients, however, remains poorly identified and under diagnosed owing to its clinical quiescence and lack of clinical guidelines for systematic evaluation of radial artery patency. Currently, only best practices are available. As TR catheterization is becoming more widely adopted across the United States it has become more important to develop concrete strategies for identifying modifiable risk factors, high-risk patients, and better understanding the mechanisms to adequately approach treatment of RAO...
June 2016: Current Problems in Cardiology
https://www.readbyqxmd.com/read/27824735/surgical-treatment-of-chronic-essex-lopresti-lesion-interosseous-membrane-reconstruction-and-radial-head-prosthesis
#17
Prospero Bigazzi, Letizia Marenghi, Marco Biondi, Maura Zucchini, Massimo Ceruso
The Essex-Lopresti lesion, or radioulnar longitudinal dissociation, results from an axial load to the forearm with lesion to the radial head, interosseous membrane and distal radioulnar joint. The lesion is rarely diagnosed early, therefore treatment is often subacute or chronic. In these cases, procedures such as radial head replacement, ulnar shortening and/or wafer procedures should be combined with reconstruction of the interosseous membrane central band to restore longitudinal stability of the forearm...
November 7, 2016: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/27824734/targeted-muscle-reinnervation-for-transradial-amputation-description-of-operative-technique
#18
Emily N Morgan, Benjamin Kyle Potter, Jason M Souza, Scott M Tintle, George P Nanos
Targeted muscle reinnervation (TMR) is a revolutionary surgical technique that, together with advances in upper extremity prostheses and advanced neuromuscular pattern recognition, allows intuitive and coordinated control in multiple planes of motion for shoulder disarticulation and transhumeral amputees. TMR also may provide improvement in neuroma-related pain and may represent an opportunity for sensory reinnervation as advances in prostheses and haptic feedback progress. Although most commonly utilized following shoulder disarticulation and transhumeral amputations, TMR techniques also represent an exciting opportunity for improvement in integrated prosthesis control and neuroma-related pain improvement in patients with transradial amputations...
December 2016: Techniques in Hand & Upper Extremity Surgery
https://www.readbyqxmd.com/read/27823682/influence-of-access-site-choice-for-cardiac-catheterization-on-risk-of-adverse-neurological-events-a-systematic-review-and-meta-analysis
#19
Alex Sirker, Chun Shing Kwok, Rafail Kotronias, Rodrigo Bagur, Olivier Bertrand, Robert Butler, Colin Berry, James Nolan, Keith Oldroyd, Mamas A Mamas
BACKGROUND: Stroke is a rare but potentially catastrophic complication of cardiac catheterization. Although some procedural aspects are known to influence stroke risk, the impact of radial versus femoral access site use is unclear. Early observational studies and limited randomized trial data suggested more frequent embolic events with radial access. Subsequently, larger pooled analyses have shown no clear differences in stroke risk but were limited by low event rates. Recent publication of relevant new data prompted our reevaluation of this concern...
November 2016: American Heart Journal
https://www.readbyqxmd.com/read/27815334/effect-of-long-term-administration-of-nicorandil-on-endothelial-function-of-the-radial-artery-in-patients-with-angina-undergoing-transradial-percutaneous-coronary-intervention
#20
Yanming Fan, Xianghua Fu, Yanbo Wang, Wei Li, Xile Bi, Liye Wei, Yuyang Xiao, Shiru Bai
We evaluated the effect of long-term administration of nicorandil on endothelial function of the radial artery in patients with angina undergoing elective transradial coronary intervention (TRI). A total of 127 patients were randomly assigned to nicorandil (standard medication plus nicorandil 5 mg twice daily, n = 64) or control group (standard medication except nicorandil, n = 63) immediately after TRI procedure. Radial artery diameter (RAD), flow-mediated dilation (FMD), and nitroglycerin-mediated dilation (NMD) of radial artery were measured 1 day before TRI as well as 1 day and 3 months after TRI by Ultrasound-Doppler...
November 4, 2016: Angiology
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