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Transradial angiography

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https://www.readbyqxmd.com/read/29455796/percutaneous-transradial-artery-approach-for-femoro-popliteal-artery-intervention-in-the-current-era-in-japan
#1
Akihiro Nakamura, Masanori Kanazawa, Kazuki Noda, Hideaki Endo, Tohru Takahashi, Eiji Nozaki
The percutaneous transradial artery approach for coronary angiography and intervention has been recognized as a safe and effective method, however, it is limited for endovascular therapy (EVT) for femoro-popliteal artery because of lack of devices with longer shaft. Herein, we report two EVT cases for superficial femoral artery disease treated with a long shaft balloon through the radial artery. Although femoro-popliteal artery intervention with this approach has several limits for available devices and technical issues, it is effective for particular patients who are impossible in EVT with femoral artery approach...
January 2018: Indian Heart Journal
https://www.readbyqxmd.com/read/29452842/total-wrist-access-for-angiography-and-interventions-procedural-success-and-access-site-crossover-in-a-high-volume-transradial-center
#2
Sasko Kedev, Biljana Zafirovska, Slobodan Antov, Jorgo Kostov, Igor Spiroski, Marjan Boshev, Ivan Vasilev, Aleksandar Jovkovski, Hajber Taravari, Darko Kitanoski, Danica Petkoska, Kalon K L Ho
No abstract text is available yet for this article.
December 24, 2017: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29451949/impact-of-sheath-size-and-hemostasis-time-on-radial-artery-patency-after-transradial-coronary-angiography-and-intervention-in-japanese-and-non-japanese-patients-a-substudy-from-rap-and-beat-radial-artery-patency-and-bleeding-efficacy-adverse-event-randomized
#3
Adel Aminian, Shigeru Saito, Akihiko Takahashi, Ivo Bernat, Robert Lee Jobe, Takashi Kajiya, Ian C Gilchrist, Yves Louvard, Ferdinand Kiemeneij, Niels van Royen, Maarten van Leeuwen, Seiji Yamazaki, Takashi Matsukage, Juan F Iglesias, Sunil V Rao
BACKGROUND: During transradial (TR) access, it remains unclear whether differences in baseline patients characteristics and hemostasis care impact the rate of radial artery occlusion (RAO). We sought to compare the rate of RAO after TR access with the 6 French(Fr) Glidesheath Slender (GSS6Fr, Terumo, Japan) or a standard 5 Fr sheath in Japanese and non-Japanese patients. METHODS AND RESULTS: The Radial Artery Patency and Bleeding, Efficacy, Adverse evenT (RAP and BEAT) trial randomized 1,836 patients undergoing TR coronary angiography and/or interventions to receive the GSS6Fr or the standard 5 Fr Glidesheath (GS5Fr, Terumo, Japan)...
February 16, 2018: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/29405556/heparin-use-for-diagnostic-cardiac-catheterization-with-a-radial-artery-approach-an-international-survey-of-practice-patterns
#4
Matthias Bossard, Shahar Lavi, Sunil V Rao, David J Cohen, Warren J Cantor, Kevin R Bainey, Nicholas Valettas, Sanjit S Jolly, Shamir R Mehta
OBJECTIVES: We aimed to describe global practice patterns of unfractionated heparin (UFH) use for diagnostic transradial cardiac catheterization. BACKGROUND: The use of the radial artery approach for cardiac catheterization is increasing globally. Limited contemporary data exist to support the use or optimal dosing of UFH to prevent radial artery occlusion (RAO) and other thromboembolic complications. METHODS: We performed a web-based international survey of 450 interventional cardiologists from 34 countries...
February 6, 2018: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/29404366/occlusion-of-right-coronary-artery-by-microembolization-caused-by-excessive-diagnostic-catheter-manipulation
#5
Salem A Salem, Showkat Haji, Nadish Garg, Rami N Khouzam, Pooja Jagadish, Shadwan Alsafwah
With advancing technology and newer therapeutic and diagnostic techniques, physicians are now encountering new complications or increasing frequency of known complications than before. left cardiac catheterization and coronary angiography is not an exception. As transradial cardiac catheterization is now becoming more popular, operators should be more aware of related challenges and limitations associated. Tortuous right bracheocephalic artery is an anatomical variance that makes radial catheterization more difficult, and may indeed add additional time and risk to the procedure and patient, respectively...
January 2018: Annals of Translational Medicine
https://www.readbyqxmd.com/read/29368241/femoral-access-site-closure-without-prior-femoral-angiography-a%C3%A2-retrospective-analysis
#6
Christoph Brenner, Julian Margreitter, Alexandra Gratl, Josef Klocker, Rudolf Kirchmair, Peter Marschang, Guy Friedrich, Bernhard Metzler, Nicolas Moes
AIMS AND BACKGROUND: Although guideline recommendations have shifted towards a transradial route, femoral puncture is still an established vascular access, especially for complex coronary interventions. The FemoSeal™ vascular closure device (FVCD) helps to reduce femoral compression time and access site complications after removal of the catheter sheath. To ensure safe use, an angiography of the femoral artery prior to FVCD deployment is recommended by the manufacturer. We postulate that omitting this angiography does not relevantly increase the risk for vascular complications...
January 24, 2018: Wiener Klinische Wochenschrift
https://www.readbyqxmd.com/read/29321037/acute-aortoiliac-occlusive-disease-during-percutaneous-transluminal-angioplasty-in-the-setting-of-st-elevation-myocardial-infarction-a-case-report
#7
Anthony H Kashou, Nabil Braiteh, Ali Zgheib, Hisham E Kashou
BACKGROUND: Aortoiliac occlusive disease, which is also referred to as Leriche syndrome, is a chronic atherosclerotic occlusive disease that occurs at the level of the aortic bifurcation. It is often thought to present with a triad of clinical symptoms: (1) intermittent lower extremity vascular claudication, (2) impotence, and (3) weak/absent femoral pulses. CASE PRESENTATION: We report a case of a 47-year-old Caucasian woman who presented with an acute inferior ST-elevation myocardial infarction...
January 11, 2018: Journal of Medical Case Reports
https://www.readbyqxmd.com/read/29315802/radial-versus-femoral-approach-for-same-day-inter-facility-transfer-for-percutaneous-coronary-intervention
#8
Zeev Israeli, Shahar Lavi, Olivier F Bertand, Mamas A Mamas, Rodrigo Bagur
BACKGROUND: The use of radial approach for coronary angiography, followed by same-day inter-facility transfer for percutaneous coronary intervention (PCI) has not yet been evaluated. OBJECTIVES: We sought to assess the safety and feasibility of using the transradial as compared to the transfemoral approach in patients undergoing diagnostic angiogram with same-day transfer to a PCI facility. METHODS: Patients that underwent diagnostic coronary angiography between January 2011 and June 2017 in a referring facility, and were transferred for same-day PCI were included...
January 8, 2018: Journal of Interventional Cardiology
https://www.readbyqxmd.com/read/29314560/robotic-assisted-transradial-diagnostic-coronary-angiography
#9
Rajesh V Swaminathan, Sunil V Rao
Robotic percutaneous coronary interventions have recently been introduced in the cardiac catheterization laboratory. Robotics offers benefits of greater precision for stent placement and occupational hazard protection for operators and staff. First generation systems were able to advance and retract coronary wires, balloons, and stents, but did not have guide control functions. The second-generation robotic system (CorPath GRX) has an active guide management function offering the ability to move guide catheters...
January 4, 2018: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/29311120/transradial-cerebral-angiography-techniques-and-outcomes
#10
Brian M Snelling, Samir Sur, Sumedh S Shah, Priyank Khandelwal, Justin Caplan, Rianna Haniff, Robert M Starke, Dileep R Yavagal, Eric C Peterson
BACKGROUND: Despite several retrospective studies analyzing the safety and efficacy of transradial access (TRA) versus transfemoral access (TFA) for cerebral angiography, this transition for neurointerventional procedures has been gradual. Nonetheless, based on our positive initial institutional experience with TRA for mechanical thrombectomy in acute ischemic stroke patients, we have started transitioning more of our cerebral angiography cases to TRA. Here we present our single institution experience...
January 8, 2018: Journal of Neurointerventional Surgery
https://www.readbyqxmd.com/read/29306669/balloon-assisted-tracking-a-practical-solution-to-avoid-radial-access-failure-due-to-difficult-anatomical-challenges
#11
Ioannis Felekos, Rafaqat Hussain, Sundip J Patel, Antonis N Pavlidis
AIM: The balloon assisted tracking (BAT) technique is utilised to overcome various anatomical difficulties during radial procedures when standard measures such as adequate sedation, pain relief, vasodilators and use of hydrophilic guidewires, fail. The aim of this study was to evaluate the success rates of the BAT technique in overcoming anatomical difficulties during radial coronary interventional procedures. METHODS: We retrospectively reviewed 1100 consecutive patients undergoing coronary procedures from the transradial approach (TRA) between May 2015 and May 2017...
December 6, 2017: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29275891/transradial-guided-percutaneous-transaxillary-intra-aortic-balloon-pump-insertion
#12
Samual Hayman, Shahar Lavi, Ryan Davey, Sabe De, Stuart Smith, Rodrigo Bagur
Axillary access for an intra-aortic balloon pump allows patients with advanced heart failure (HF) to sit upright and ambulate while waiting for destination therapy or bridging to heart transplantation. We describe the combination of radial access for positioning a 4F pigtail catheter to allow axillary angiography and provide a target for a micropuncture needle entry point in a fully anticoagulated patient with advanced HF.
January 2018: Canadian Journal of Cardiology
https://www.readbyqxmd.com/read/29238366/topical-anaesthesia-before-transradial-approach-for-supraoartic-vessels-angiography-and-stenting-in-the-elderly-a-feasible-alternative
#13
Gianluca Rigatelli, Marco Zuin, Fabio Dell'Avvocata, Dobrin Vassiliev
No abstract text is available yet for this article.
October 2017: Journal of Geriatric Cardiology: JGC
https://www.readbyqxmd.com/read/29223499/a-comparison-of-standard-versus-low-dose-heparin-on-access-related-complications-after-coronary-angiography-through-radial-access-a-meta-analysis-of-randomized-controlled-trials
#14
Khagendra Dahal, Sharan Sharma, Adil Yousuf, Juyong Lee, Michael Azrin, Enrique Jimenez, Kalgi Modi, Neeraj Tandon
BACKGROUND: Transradial access (TRA) is preferred for coronary angiography (CA) or percutaneous coronary intervention due to reduced access-related complications, and mortality especially for patients with ST elevation myocardial infarction. Radial artery occlusion (RAO) is a known complication of TRA, and precludes its use as a future access site, conduit for coronary artery bypass grafting or for hemodialysis fistula placement. Although a standard dose (SD) heparin of 5000 Units is used during TRA, the risks of RAO and hematoma compared to lower dose (LD) remain unclear...
November 5, 2017: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29219241/incidental-finding-of-arteria-lusoria-during-transradial-coronary-catheterization-significance-in-interventional-cardiology
#15
Arsalan Rafiq, Surendra Chutani, Nassim R Krim
Arteria lusoria is the most common anomaly of the aortic arch with an incidence of 0.5%-2.5%. It is mostly diagnosed incidentally while performing imaging for evaluation of other unrelated medical conditions. The aberrant right subclavian artery arises beyond the origin of the left subclavian artery from the aortic arch. This results in a complex right-subclavian-aortic anatomy which leads to difficulty in transradial coronary angiography. This can lead to prolonged procedure time and increased use of catheters by unaware interventionists...
December 8, 2017: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/29207853/complications-following-transradial-cerebral-angiography-an-ultrasound-follow-up-study
#16
Wonki Yoon, Woo-Keun Kwon, Omar Choudhri, Jaegeun Ahn, Hanyong Huh, Choel Ji, Huy M Do, Aditya Mantha, Sin-Soo Jeun
Objective: The feasibility and usefulness of transradial catheterization for coronary and neuro-intervention are well known. However, the anatomical change in the catheterized radial artery (RA) is not well understood. Herein, we present the results of ultrasonographic observation of the RA after routine transradial cerebral angiography (TRCA). Methods: Patients who underwent routine TRCA with pre- and post-procedure Doppler ultrasonography (DUS) of the catheterized RA were enrolled...
December 6, 2017: Journal of Korean Neurosurgical Society
https://www.readbyqxmd.com/read/29169493/contemporary-arterial-access-in-the-cardiac-catheterization-laboratory
#17
REVIEW
Yader Sandoval, M Nicholas Burke, Angie S Lobo, Daniel L Lips, Arnold H Seto, Ivan Chavez, Paul Sorajja, Mazen S Abu-Fadel, Yale Wang, Anil Poulouse, Mario Gössl, Michael Mooney, Jay Traverse, David Tierney, Emmanouil S Brilakis
Obtaining femoral and radial arterial access in the cardiac catheterization laboratory using state-of-the-art techniques is essential to optimize outcomes, patient satisfaction, and procedural efficiency. Although transradial access is increasingly used for coronary angiography and percutaneous coronary intervention, femoral access remains necessary for numerous procedures, many requiring large-bore access, including complex high-risk coronary interventions, structural procedures, and procedures involving mechanical circulatory support...
November 27, 2017: JACC. Cardiovascular Interventions
https://www.readbyqxmd.com/read/29145041/transradial-access-for-cerebrovascular-angiography-evaluation-of-palmar-collateral-circulation-with-hand-angiography-and-its-correlation-with-allen-test
#18
Woo-Keun Kwon, Wonki Yoon, Taek-Hyun Kwon, Jong Hyun Kim, Heung-Sub Jung, Jaegeun Ahn, Hanyong Huh, Choel Ji
OBJECTIVES: Transradial cerebral angiography (TRCA) has been introduced as an alternative technique for the transfemoral access, and its use is becoming more common in the field. In this study, we retrospectively analyzed a group of patients who received TRCA, and investigated peri-procedural measurements indicating actual hand circulation, and studied their correlation with the Allen test. PATIENTS AND METHODS: A retrospective review of 168 patients whom underwent TRCA between 2015 July and 2016 July, were included in this study...
October 31, 2017: Clinical Neurology and Neurosurgery
https://www.readbyqxmd.com/read/29127118/the-acra-anatomy-study-assessment-of-disability-after-coronary-procedures-using-radial-access-a-comprehensive-anatomic-and-functional-assessment-of-the-vasculature-of-the-hand-and-relation-to-outcome-after-transradial-catheterization
#19
Maarten A H van Leeuwen, Maurits R Hollander, Dirk J van der Heijden, Peter M van de Ven, Kim H M Opmeer, Yannick J H J Taverne, Marco J P F Ritt, Ferdinand Kiemeneij, Nicolas M van Mieghem, Niels van Royen
BACKGROUND: The palmar arches serve as the most important conduits for digital blood supply, and incompleteness may lead to digital ischemia when the radial artery becomes obstructed after cardiac catheterization. The rate of palmar arch incompleteness and the clinical consequences after transradial access are currently unknown. METHODS AND RESULTS: The vascular anatomy of the hand was documented by angiography in 234 patients undergoing transradial cardiac catheterization...
November 2017: Circulation. Cardiovascular Interventions
https://www.readbyqxmd.com/read/29113865/identifying-strategy-for-ad-hoc-percutaneous-coronary-intervention-in-patients-with-anticipated-unfavorable-radial-access-the-little-women-study
#20
Gregory A Sgueglia, Daniel Todaro, Antonella De Santis, Micaela Conte, Gaetano Gioffrè, Angela Di Giorgio, Fabrizio D'Errico, Fabiana Piccioni, Francesco Summaria, Achille Gaspardone
BACKGROUND: Transradial percutaneous coronary intervention (PCI) offers important advantages over transfemoral PCI, including better outcomes. However, when there is indication to ad hoc PCI, a 6 French workflow is a common default strategy, hence potentially influencing vascular access selection in patients with anticipated small size radial artery. METHODS: A multidimensional evaluation was performed to compare two ad hoc interventional strategies in women <160cm: a full 6 French workflow (namely 6 French introducer sheath, diagnostic catheters and guiding catheter) with a modified workflow consisting in the use of 5 French diagnostic catheters preceded by the placement of a 6 French sheath introducer and followed by a 6 French guiding catheter use for PCI...
October 16, 2017: Cardiovascular Revascularization Medicine: Including Molecular Interventions
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