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Transradial angiography

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https://www.readbyqxmd.com/read/29024265/effectiveness-of-a-handmade-new-carotid-catheter-in-transradial-carotid-angiography-a-comparison-with-conventional-multipurpose-catheters
#1
Yakup Balaban
OBJECTIVE: The incidence and severity of carotid atherosclerosis increases in proportion with coronary artery disease and its severity. A special catheter specifically used for transradial carotid angiography has not yet been marketed. In this study, we investigate the feasibility and safety of our carotid catheter, which was made by reshaping currently available catheters. METHODS: Between 2010 and 2017, a total of 921 patients with indications for carotid angiography were identified after angiographic examinations and included in the study...
October 11, 2017: Journal of Interventional Cardiology
https://www.readbyqxmd.com/read/28966445/urinary-metabolites-in-patients-undergoing-coronary-catheterization-via-the-radial-versus-femoral-artery-approach
#2
Anupama Vasudevan, Jeffrey M Schussler, Jane I Won, Paula Ashcraft, Ivy Bolanos, Matthew Williams, Teodoro Bottiglieri, Carlos E Velasco, Peter A McCullough
The transradial approach (TRA) for coronary angiography and percutaneous coronary intervention is associated with lower rates of vascular complications and acute kidney injury when compared to the transfemoral approach (TFA). Urine metabolites and proteins may be useful in identifying the dynamic changes at the vascular endothelial cell level. We attempted to explore the changes in the measurable signals of endothelial and nephron injury within 60 to 90 minutes after catheterization among those with the TRA and TFA approaches...
October 2017: Proceedings of the Baylor University Medical Center
https://www.readbyqxmd.com/read/28893082/relation-between-trca-complication-rates-and-peak-act-levels-stratified-according-to-the-bmi-tertiles
#3
Kevser Gülcihan Balci, Orhan Maden, Mustafa Mücahit Balci, Elif Hande Çetin, Habibe Kafes, Muharrem Tola, Hatice Selcuk, Mehmet Timur Selcuk
We evaluated the efficacy and safety of the fixed dose of 5000 IU unfractionated heparin (UFH) represented as peak activated clotting time (ACT) according to the body mass index (BMI) tertiles in patients undergoing diagnostic transradial coronary angiography (TRCA). A total of 422 patients were included in the present study, 84 in the normal weight group, 218 in the overweight group, and the 120 in the grades 1 and 2 obesity groups. Radial artery occlusion (RAO) was observed in 29 (6.8%) patients and the hematoma was observed in 43 (10...
January 1, 2017: Angiology
https://www.readbyqxmd.com/read/28864317/feasibility-and-safety-of-early-repeat-transradial-access-within-30-days-of-previous-coronary-angiography-and-intervention
#4
Alberto E Barria Perez, Olivier Costerousse, Tomas Cieza, Gérald Barbeau, Jean-Pierre Déry, Frédéric Maes, Goran Rimac, Guillaume Plourde, Yann Poirier, Marc-Antoine Carrier, Olivier F Bertrand
Transradial approach (TRA) is the default access site for diagnostic angiography and intervention in many centers. Repeat ipsilateral radial artery access late after index procedure has been associated with failures. It is unknown whether early (≤30 days) and very early (<24 hours) repeat radial access is technically feasible and safe. Study population consisted of consecutive patients undergoing repeat (≥2) procedures within 30 days in a high-volume TRA center. Transradial access failure and resulting femoral approach was categorized as primary (no repeat attempt) or secondary (crossover)...
October 15, 2017: American Journal of Cardiology
https://www.readbyqxmd.com/read/28844520/predictors-of-technical-failure-in-transradial-coronary-angiography-and-intervention
#5
Monique Tröbs, Stephan Achenbach, Pia Maria Plank, Mohamed Marwan, Jens Röther, Lutz Klinghammer, Florian Blachutzik, Christian Schlundt
Transradial access for coronary angiography and intervention is preferred over the femoral approach but can be technically challenging. Identification of predictors of transradial access failure is important, especially in the context of acute coronary syndromes. We therefore retrospectively analyzed 13,095 consecutive patients (66 ± 12 years, 64% male) in whom transradial access was attempted for coronary angiography or intervention to identify predictors of transradial access failure. Angiograms and patient files were systematically reviewed to analyze patient characteristics associated with failure...
November 1, 2017: American Journal of Cardiology
https://www.readbyqxmd.com/read/28828023/successful-nonsurgical-treatment-of-a-radial-artery%C3%A2-pseudoaneurysm-following-transradial-coronary-angiography
#6
Reza Ghanavati, Mehran Arab Ahmadi, Behdad Behnam
Transradial coronary angiography has been known as an alternative to the transfemoral approach with fewer serious complications. Radial artery pseudoaneurysms present as a rare complication of transradial catheterization. Although some methods have been applied for the obliteration of pseudoaneurysms, the use of radial bands such as the TR Band(®) (Terumo Medical Corporation, Somerset, NJ) is a novel efficient technique only suggested by a few reports. We describe a 34-year-old man, who underwent transradial primary coronary angiography due to ST-elevation myocardial infarction...
April 2017: Journal of Tehran Heart Center
https://www.readbyqxmd.com/read/28809724/comparison-of-hemostasis-times-with-a-kaolin-based-hemostatic-pad-quikclot-radial-vs-mechanical-compression-tr-band-following-transradial-access-a-pilot-prospective-study
#7
Jonathan S Roberts, Jianli Niu, Juan A Pastor-Cervantes
BACKGROUND: Hemostasis following transradial access (TRA) is usually achieved by mechanical compression. We investigated use of the QuikClot Radial hemostasis pad (Z-Medica) compared with the TR Band (Terumo Medical) to shorten hemostasis after TRA. METHODS: Thirty patients undergoing TRA coronary angiography and/or percutaneous coronary intervention were randomized into three cohorts post TRA: 10 patients received mechanical compression with the TR Band, 10 patients received 30 min of compression with the QuikClot Radial pad, and 10 patients received 60 min of compression with the QuikClot Radial pad...
August 15, 2017: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/28777096/beam-projections-and-radiation-exposure-in-transradial-and-transfemoral-approaches-during-coronary-angiography
#8
Ali Tarighatnia, Amirhossien Mohammadalian, Morteza Ghojazade, Leili Pourafkari, Alireza Farajollahi
OBJECTIVE: We aimed to compare the operator and patient radiation exposure in standard projections during elective diagnostic coronary angiography procedures via transradial (TRA) versus transfemoral (TFA) approaches. METHODS: In this analytical cross-sectional study, a total of 202 consecutive patients who were candidates for diagnostic coronary angiography were randomized to undergo the procedure via TFA or TRA approaches (101 in each group). Patients with abnormal Allen test and history of coronary artery bypass surgery, valvular heart disease, and unsuccessful coronary angiography were excluded from the study...
August 2, 2017: Anatolian Journal of Cardiology
https://www.readbyqxmd.com/read/28774222/transradial-delivery-of-a-renal-snorkel-during-complex-endovascular-aortic-aneurysm-repair
#9
Jordan R Stern, Sharif H Ellozy
Transradial access has been described in a variety of clinical contexts but has been rarely utilized for visceral artery interventions and during complex endovascular aortic aneurysm repair (EVAR) when upper extremity access is required. This is usually accomplished via brachial artery access, and although brachial access is generally safe and effective, radial access may offer some benefits with regard to patient comfort and potential complications. Here we report a case of successful delivery of a renal snorkel via a radial artery approach during EVAR...
January 1, 2017: Vascular and Endovascular Surgery
https://www.readbyqxmd.com/read/28756422/transradial-coronary-angiogram-in-a-sitting-position
#10
Konstantinos Marmagkiolis, Mehmet Cilingiroglu, Cindy L Grines
Transradial coronary angiography has significantly increased in the United States over the last decade. When the patient is unable to lie down despite analgesia and conscious sedation, general anesthesia may be recommended. We report the feasibility of transradial coronary angiogram in a sitting position.
August 2017: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/28742134/hemostasis-pad-combined-with-compression-device-after-transradial-coronary-procedures-a-randomized-controlled-trial
#11
RANDOMIZED CONTROLLED TRIAL
Si-Hyuck Kang, Donghoon Han, Sehun Kim, Chang-Hwan Yoon, Jin-Joo Park, Jung-Won Suh, Young-Seok Cho, Tae-Jin Youn, In-Ho Chae
BACKGROUND: Arterial access and hemostasis are important processes during percutaneous coronary procedures. In this study, we tested if the use of chitosan-based pads on top of compression devices could improve hemostasis efficacy compared with compression devices alone after transradial coronary angiography or interventions. METHODS: This study was a single-center open-label randomized controlled trial. Patients who underwent coronary angiography or intervention with the transradial approach were randomly assigned to the study (compression device and a chitosan-based pad) or control (compression devices alone) group in a 2:1 fashion...
2017: PloS One
https://www.readbyqxmd.com/read/28717826/operator-radiation-exposure-during-transradial-coronary-angiography-effect-of-single-vs-double-catheters
#12
A Tarighatnia, L Pourafkari, A Farajollahi, A H Mohammadalian, M Ghojazadeh, N D Nader
BACKGROUND: The right radial artery has gained popularity as the preferred access site for coronary angiography. To save time and limit the radiation exposure of operators and patients, newly designed catheters can be used to access both the right and left coronary arteries. The aim of this study was to compare operator radiation exposure between single-catheter (SCA) and two-catheter approaches (TCA). METHODS: In all, 256 patients undergoing diagnostic coronary angiography via the right radial artery in a high-volume medical center were randomized to either the SCA or TCA group...
July 17, 2017: Herz
https://www.readbyqxmd.com/read/28658746/a-unique-triad-of-muscular-vascular-and-nervous-variations-in-upper-limb
#13
Dharmaraj Wamanrao Tamgire, Yogesh Ashok Sontakke, Sssn Rajasekhar, Karuppusamy Aravindhan
Multiple muscular and neurovascular anomalies in upper limb are reported continuously in medical literature because of their clinical significance. A unique case of the triad of variations was encountered during routine dissection activity. The variations observed were: 1) Accessory third head of biceps brachii; 2) High division of Brachial Artery; 3) Communication between Musculocutaneous Nerve and Median Nerve. Taken independently these variations are common but it is rare in a single cadaver. These abnormalities were found unilaterally on the right arm of the cadaver...
May 2017: Journal of Clinical and Diagnostic Research: JCDR
https://www.readbyqxmd.com/read/28653424/anesthetic-ointment-only-lidocaine-prilocaine-instead-of-injectable-local-lidocaine-in-trans-radial-catheterization-a-viable-no-needle-alternative
#14
George Latsios, Kostas Toutouzas, Alexios S Antonopoulos, Eleni Melidi, Andreas Synetos, Georgia Vogiatzi, Aggeliki Stasinopoulou, Kostas Tsioufis, Eleftherios Tsiamis, Dimitrios Tousoulis
OBJECTIVE: The aim of the present study was to assess the level of access site pain in patients undergoing transradial coronary catheterization by using topical application of an anesthetic ointment (lidocaine/prilocaine-AO) compared to standard local anesthesia (LA) by means of injectable lidocaine. METHODS: We prospectively studied 444 patients undergoing elective trans-radial coronary angiography. The quality of analgesia was assessed using a visual analogue scale (VAS) immediately after the puncture and 30 min after the removal of the sheath...
August 2017: Journal of Interventional Cardiology
https://www.readbyqxmd.com/read/28636520/radial-artery-occlusion-incidence-predictors-and-long-term-outcome-after-transradial-catheterization-clinico-doppler-ultrasound-based-study-rail-trac-study
#15
Santosh Kumar Sinha, Mukesh Jitendra Jha, Vikas Mishra, Ramesh Thakur, Amit Goel, Ashutosh Kumar, Avinash Kumar Singh, Mohit Sachan, Chandra Mohan Varma, Vinay Krishna
Background and aim The purpose of this study was to assess incidence, predictors and outcome of radial artery occlusion (RAO) after transradial catheterization (TRC) based on clinical and Doppler ultrasound study. Methods A total of 1,945 consecutive patients undergoing transradial catheterization for diagnostic evaluation or intervention were included. Radial artery examination was based on palpation and colour Doppler study on the day before, 1 day (D1), 1 month (D30) and 6 months (D180) following the procedure...
June 2017: Acta Cardiologica
https://www.readbyqxmd.com/read/28636509/evaluation-of-endothelial-dysfunction-with-flow-mediated-dilatation-after-transradial-coronary-angiography
#16
Bahar T Tak, Kevser G Balci, Hilal Erken, Demet M Gerede, Sercan Tak, Hüseyin Göksülük, Sibel Turhan, Çetin Erol
Objective Transradial coronary angiography (TRCA) may lead to endothelial dysfunction. Therefore, this study investigated the TRCA-related endothelial dysfunction and its relation to operator experience, the number of punctures and procedure duration. Methods and results A total of 57 patients (42 males and 17 females) who underwent TRCA were included in this single-centre study. Nine months after the procedure, all patients underwent radial artery B-mode ultrasound imaging, and flow-mediated dilatation (FMD) and nitroglycerin-mediated dilatation (NMD) techniques were employed...
March 21, 2017: Acta Cardiologica
https://www.readbyqxmd.com/read/28577752/usefulness-of-a-gentle-and-short-hemostasis-using-the-transradial-band-device-after-transradial-access-for-percutaneous-coronary-angiography-and-interventions-to-reduce-the-radial-artery-occlusion-rate-from-the-prospective-and-randomized-crasoc-i-ii-and-iii
#17
RANDOMIZED CONTROLLED TRIAL
Vincent Dangoisse, Antoine Guédès, Patrick Chenu, Claude Hanet, Clara Albert, Valérie Robin, Laurence Tavier, Christine Dury, Olivier Piraux, Juliette Domange, Karine Jourdan, Benoit Bihin, Erwin Schroeder
The study sought to evaluate the benefit of the reduction in intensity and duration of the hemostasis obtained with the transradial (TR) Band compression device on the radial artery occlusion (RAO) rate. RAO is the most frequent complication of TR access for cardiac catheterization and limits future use of this safe route. Its occurrence must be minimized. Between 2009 and 2016, 3,616 TR accesses were randomized to TR Band hemostasis during 3 consecutive protocols: CRASOC I (Compression of Radial ArterieS without Occlusion): 13 versus 10 cc of air into the TR Band and for 4 hours of continuous compression; CRASOC II: 10 cc of air for 3 hours versus 2 hours of compression; and CRASOC III: 10 cc of air for 2 hours versus 1...
August 1, 2017: American Journal of Cardiology
https://www.readbyqxmd.com/read/28567356/radial-artery-occlusion-after-transradial-coronary-catheterization
#18
REVIEW
Grigorios Avdikos, Aris Karatasakis, Andreas Tsoumeleas, Efstathios Lazaris, Antonios Ziakas, Michael Koutouzis
The transradial approach (TRA) for coronary angiography and interventions is increasingly utilized around the world. Radial artery occlusion (RAO) is the most common significant complication after transradial catheterization, with incidence varying between 1% and 10%. Although RAO is rarely accompanied by hand ischemia, it is an important complication because it prohibits future transradial access and radial artery utilization as a conduit for coronary artery bypass grafting or arteriovenous fistula formation...
June 2017: Cardiovascular Diagnosis and Therapy
https://www.readbyqxmd.com/read/28540313/central-vascular-complications-following-elective-catheterization-using-transradial-percutaneous-coronary-intervention
#19
Julia Merkle, Christopher Hohmann, Anton Sabashnikov, Thorsten Wahlers, Jens Wippermann
Percutaneous coronary intervention is commonly used to treat coronary artery disease. Both transradial and transfemoral approaches are applied. In general, fewer complications are seen with the transradial approach compared to the transfemoral access, for which reason the transradial catheterization is frequently preferred. In this case presentation, we describe 2 cases of elective transradial coronary angiography both resulting in severe central vascular complications: perforation of the right subclavian artery with a mediastinal hematoma and dissection of the brachio-cephalic trunk and the aortic arch...
January 2017: Journal of Investigative Medicine High Impact Case Reports
https://www.readbyqxmd.com/read/28506941/left-distal-transradial-access-in-the-anatomical-snuffbox-for-coronary-angiography-ldtra-and-interventions-ldtri
#20
Ferdinand Kiemeneij
AIMS: The aim of this technical report is to demonstrate the feasibility of the left distal transradial approach for patients in whom left radial access is preferred over right radial access for coronary angiography and interventions. This procedure is more convenient for the operator. For the right-handed patient, the left radial access is more convenient because of the free use of the right hand after the procedure. In addition, this technique reduces the chance of radial artery occlusion at the site of the distal forearm...
September 20, 2017: EuroIntervention
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