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Transradial angiography

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https://www.readbyqxmd.com/read/29921223/from-debulking-to-delivery-sequential-use-of-rotational-atherectomy-and-guidezilla%C3%A2-for-complex-saphenous-vein-grafts-intervention
#1
Mariano Pellicano, Vincent Floré, Emanuele Barbato, Bernard De Bruyne
BACKGROUND: Percutaneous coronary interventions (PCI) of old calcified saphenous vein grafts (SVGs) is challenging and is associated with a considerably high risk of adverse ischemic events in the short- and long-term as compared to native coronary arteries. We report a case in which a non-dilatable, calcified SVG lesion is successfully treated with rotational atherectomy followed by PCI and stenting with local stent delivery (LSD) technique using the Guidezilla™ guide extension catheter (5-in-6 Fr) in the "child-in-mother" fashion...
June 19, 2018: BMC Cardiovascular Disorders
https://www.readbyqxmd.com/read/29891428/accelerated-patent-haemostasis-using-a-procoagulant-disk-a-protocol-designed-to-minimise-the-risk-of-radial-artery-occlusion-following-cardiac-catheterisation
#2
Muhammad Ayyaz Ul Haq, Sheraz A Nazir, Muhammad Rashid, Chun Shing Kwok, Syed Mubashiruddin, Zaheer Alisiddiq, Ahmed Shoaib, Karim Ratib, Mamas A Mamas, James Nolan
PURPOSE: Radial artery occlusion flowing cardiac catheterisation has been linked to flow reduction and prolonged compression. We investigate whether these factors can be optimised following transradial cardiac catheterisation by using an accelerated band removal protocol facilitated by a haemostasis promoting pad, in combination with a patent haemostasis technique. METHODS: In this single centre prospective study, 389 consecutive patients undergoing TRA for coronary angiography or angioplasty were randomised to two haemostasis protocols: use of a Helix™ compression device alone (HC) or in combination with a haemostatic pad (StatSeal® disc) and an accelerated haemostasis protocol (AC)...
April 21, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29880098/manual-versus-mechanical-compression-of-the-radial-artery-after-transradial-coronary-angiography-the-memory-multicenter-randomized-trial
#3
Dimitrios Petroglou, Matthaios Didagelos, Georgios Chalikias, Dimitrios Tziakas, Grigorios Tsigkas, Georgios Hahalis, Michael Koutouzis, Antonios Ntatsios, Ioannis Tsiafoutis, Michael Hamilos, Antonios Kouparanis, Nikolaos Konstantinidis, Georgios Sofidis, Samir B Pancholy, Haralambos Karvounis, Olivier Francois Bertrand, Antonios Ziakas
OBJECTIVES: The aim of this study was to compare manual versus mechanical compression of the radial artery after coronary angiography via transradial access regarding radial artery occlusion (RAO), access-site bleeding complications, and duration of hemostasis. BACKGROUND: Hemostasis of the radial artery after sheath removal can be achieved either by manual compression at the puncture site or by using a mechanical hemostasis device. Because mechanical compression exerts a more stable, continuous pressure on the artery, it could be hypothesized that it is more effective compared with manual compression regarding hemostasis time, bleeding, and RAO risks...
June 11, 2018: JACC. Cardiovascular Interventions
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/29747919/temporal-trends-in-coronary-angiography-and-percutaneous-coronary-intervention-insights-from-the-va-clinical-assessment-reporting-and-tracking-program
#5
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/29665617/transradial-versus-transfemoral-approach-for-diagnostic-coronary-angiography-and-percutaneous-coronary-intervention-in-people-with-coronary-artery-disease
#6
REVIEW
Ahmed A Kolkailah, Rabah S Alreshq, Ahmed M Muhammed, Mohamed E Zahran, Marwah Anas El-Wegoud, Ashraf F Nabhan
BACKGROUND: Cardiovascular disease (CVD) is the major cause of mortality worldwide. Coronary artery disease (CAD) contributes to half of mortalities caused by CVD. The mainstay of management of CAD is medical therapy and revascularisation. Revascularisation can be achieved via coronary artery bypass grafting (CABG) or percutaneous coronary intervention (PCI). Peripheral arteries, such as the femoral or radial artery, provide the access to the coronary arteries to perform diagnostic or therapeutic (or both) procedures...
April 18, 2018: Cochrane Database of Systematic Reviews
https://www.readbyqxmd.com/read/29628222/time-to-discharge-following-diagnostic-coronary-procedures-via-transradial-artery-approach-a-comparison-of-terumo-band-and-statseal-hemostasis
#7
Ceton Van Meter, Anupama Vasudevan, Jacquelyn M Cuccerre, Jeffrey M Schussler
BACKGROUND: The transradial artery (TRA) approach for cardiac catheterization is associated with fewer complications, earlier mobilization and a shorter stay at the hospital. The objective of this study was to determine whether hemostasis with a combination of a compression band (Terumo TR band™) and a hemostatic patch (StatSeal™) decreases the time to discharge from the hospital compared to the Terumo (TR) band alone in patients undergoing diagnostic coronary catheterizations through a TRA approach...
March 24, 2018: Cardiovascular Revascularization Medicine: Including Molecular Interventions
https://www.readbyqxmd.com/read/29578203/coronary-angiography-using-the-left-distal-radial-approach-an-alternative-site-to-conventional-radial-coronary-angiography
#8
Elton Soydan, Mustafa Akın
OBJECTIVE: To share our experience with the left distal radial approach for transradial coronary angiography and interventions. By performing the radial puncture in the fossa radialis or the so called anatomical "Snuffbox" we aimed to present the feasibility and complications of this new technique. METHODS: Left distal radial artery was used as an access site in 54 patients admitted to our clinic for coronary angiography and intervention between May 25th and October 20th 2017...
March 21, 2018: Anatolian Journal of Cardiology
https://www.readbyqxmd.com/read/29550752/delayed-flow-mediated-vasodilation-and-critical-coronary-stenosis
#9
Concetta Irace, Salvatore De Rosa, Cesare Tripolino, Giuseppe Ambrosio, Caterina Covello, Ennio Abramo, Claudio Carallo, Annalisa Mongiardo, Carmen Spaccarotella, Daniele Torella, Agostino Gnasso, Ciro Indolfi
Endothelial dysfunction, wall thickening and plaque are progressive manifestations of atherosclerosis. Delayed or absent brachial artery dilation after ischemic stimulus has been associated with severity of extracoronary and coronary atherosclerosis. In the current study, we aimed to verify if delayed or absent dilation associates with critical coronary stenosis. We also evaluated the association between coronary stenosis, carotid artery wall thickness and peripheral artery disease. Endothelial function was investigated by flow-mediated dilation of the brachial artery up to 3 min after ischemia, and patients classified as early, late or no dilators...
March 17, 2018: Journal of Investigative Medicine: the Official Publication of the American Federation for Clinical Research
https://www.readbyqxmd.com/read/29521870/the-effect-of-topical-medications-on-radial-artery-spasm-in-patients-undergoing-transradial-coronary-procedures-a-systematic-review
#10
Elizabeth Curtis, Ritin Fernandez, Astin Lee
OBJECTIVE: The objective of this review was to identify the effectiveness of topical medications on radial artery spasm (RAS) in patients undergoing transradial percutaneous coronary procedures. INTRODUCTION: Percutaneous coronary procedures were traditionally carried out via the femoral artery; however, over the last 20 years there has been a global increase in the number of proceduralists carrying out percutaneous coronary procedures via the transradial approach...
March 2018: JBI Database of Systematic Reviews and Implementation Reports
https://www.readbyqxmd.com/read/29504410/prevention-of-radial-artery-occlusions-following-coronary-procedures-forward-and-backward-steps-in-improving-radial-artery-patency-rates
#11
George Hahalis, Grigorios Tsigkas, Nikos Kounis, Sotirios Patsilinakos, Nikolaos Kafkas, Antonios Ziakas, Nikolaos Patsourakos, George Almpanis, Ioanna Koniari, Ioanna Xanthopoulou, Nikolaos Koutsogiannis, Stefanos Despotopoulos, Marianna Leopoulou, Vasiliky Tassi, Ioannis Miliordos, Maria Anastasopoulou, Anastasios Roumeliotis, Athina Dapergola, Konstantinos Aznaouridis, Dimitrios Chatzis, Periklis Davlouros
Radial artery (RA) occlusion (RAO) remains the Achilles heel of transradial coronary procedures. Although of silent nature, RAO is relatively frequent, results in graft shortage for future coronary artery bypass surgery, and may occur even after short-lasting, 5F coronary angiography (CAG). The most frequent predictors of RAO are RA size, body size, female gender, and periprocedural anticoagulation intensity. Methods to detect RAO are variable, of which the Barbeau test and ultrasonography have similar diagnostic accuracy...
January 1, 2018: Angiology
https://www.readbyqxmd.com/read/29493512/forearm-versus-femoral-approach-for-cardiac-catheterization-in-end-stage-renal-disease-patients
#12
Michael Koutouzis, George S Sfyroeras, Christos Maniotis, Konstantinos Kintis, Sotirios Patsilinakos, Panagiotis Tsiverdis, Giannis Giannikouris, Ioannis Tsiafoutis, Efstathios Lazaris, Michalis Hamilos
BACKGROUND: End-stage renal disease (ESRD) is considered a relative contraindication for forearm (radial or ulnar) cardiac catheterization. However, in everyday practice, many ESRD patients are catheterized from the forearm. The aim of this study was to compare femoral and forearm approach for cardiac catheterization in ESRD patients. METHODS: All cardiac catheterization procedures performed in ESRD patients in three Greek hospitals in a 2-year period (2014-2015) were retrospectively evaluated...
March 2018: Journal of Invasive Cardiology
https://www.readbyqxmd.com/read/29455796/percutaneous-transradial-artery-approach-for-femoro-popliteal-artery-intervention-in-the-current-era-in-japan
#13
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
#14
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
#15
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
#16
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
#17
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
#18
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
#19
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
#20
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...
April 2018: Journal of Interventional Cardiology
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