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Erschienen in: Current Cardiology Reports 7/2014

01.07.2014 | Interventional Cardiology (S Rao, Section Editor)

Strategies to Prevent Radial Artery Occlusion After Transradial PCI

verfasst von: Samir B. Pancholy

Erschienen in: Current Cardiology Reports | Ausgabe 7/2014

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Abstract

Radial artery occlusion (RAO) is the most common structural consequence of transradial access (TRA) with an estimated incidence ranging from 2-10 %. Its occurrence is free of any major clinical consequences, especially at rest, with most if not all cases of digital ischemia occurring as a result of embolization, rather than RAO. The incidence of RAO is unacceptably high if “best practices” are not followed. Strategies to prevent RAO need to be implemented to preserve radial artery patency in order to exploit other benefits of TRA.
Literatur
1.•
Zurück zum Zitat Feldman DN, Swaminathan RV, Kaltenbach LA, Baklanov DV, Kim LK, Wong SC, et al. Adoption of radial access and comparison of outcomes to femoral access in percutaneous coronary intervention: an updated report from the national cardiovascular data registry (2007-2012). Circulation. 2013;127(23):2295–306. This important paper discusses adoption of radial access and compares outcomes of femoral access in PCI.PubMedCrossRef Feldman DN, Swaminathan RV, Kaltenbach LA, Baklanov DV, Kim LK, Wong SC, et al. Adoption of radial access and comparison of outcomes to femoral access in percutaneous coronary intervention: an updated report from the national cardiovascular data registry (2007-2012). Circulation. 2013;127(23):2295–306. This important paper discusses adoption of radial access and compares outcomes of femoral access in PCI.PubMedCrossRef
2.
Zurück zum Zitat Bertrand OF, Bélisle P, Joyal D, Costerousse O, Rao SV, Jolly SS, et al. Comparison of transradial and femoral approaches for percutaneous coronary interventions: a systematic review and hierarchical Bayesian meta-analysis. Am Heart J. 2012;163(4):632–48.PubMedCrossRef Bertrand OF, Bélisle P, Joyal D, Costerousse O, Rao SV, Jolly SS, et al. Comparison of transradial and femoral approaches for percutaneous coronary interventions: a systematic review and hierarchical Bayesian meta-analysis. Am Heart J. 2012;163(4):632–48.PubMedCrossRef
3.
Zurück zum Zitat Sanmartin M, Gomez M, Rumoroso JR, Sadaba M, Martinez M, Baz JA, et al. Interruption of blood flow during compression and radial artery occlusion after transradial catheterization. Catheter Cardiovasc Interv. 2007;70(2):185–9.PubMedCrossRef Sanmartin M, Gomez M, Rumoroso JR, Sadaba M, Martinez M, Baz JA, et al. Interruption of blood flow during compression and radial artery occlusion after transradial catheterization. Catheter Cardiovasc Interv. 2007;70(2):185–9.PubMedCrossRef
4.
Zurück zum Zitat Pancholy SB. Transradial access in an occluded radial artery: new technique. J Invasive Cardiol. 2007;19(12):541–4.PubMed Pancholy SB. Transradial access in an occluded radial artery: new technique. J Invasive Cardiol. 2007;19(12):541–4.PubMed
5.
Zurück zum Zitat Pancholy SB, Sanghvi KA, Patel TM. Radial artery access technique evaluation trial: randomized comparison of Seldinger versus modified Seldinger technique for arterial access for transradial catheterization. Catheter Cardiovasc Interv. 2012;80(2):288–91.PubMedCrossRef Pancholy SB, Sanghvi KA, Patel TM. Radial artery access technique evaluation trial: randomized comparison of Seldinger versus modified Seldinger technique for arterial access for transradial catheterization. Catheter Cardiovasc Interv. 2012;80(2):288–91.PubMedCrossRef
6.
Zurück zum Zitat Spaulding C, Lefevre T, Funck F, Thebault B, Chauveau M, Ben Hamda K, et al. Left radial approach for coronary angiography: results of a prospective study. Cathet Cardiovasc Diagn. 1996;39:365–70.PubMedCrossRef Spaulding C, Lefevre T, Funck F, Thebault B, Chauveau M, Ben Hamda K, et al. Left radial approach for coronary angiography: results of a prospective study. Cathet Cardiovasc Diagn. 1996;39:365–70.PubMedCrossRef
7.
Zurück zum Zitat Pancholy SB. Comparison of the effect of intra-arterial versus intravenous heparin on radial artery occlusion after transradial catheterization. Am J Cardiol. 2009;104(8):1083–5.PubMedCrossRef Pancholy SB. Comparison of the effect of intra-arterial versus intravenous heparin on radial artery occlusion after transradial catheterization. Am J Cardiol. 2009;104(8):1083–5.PubMedCrossRef
8.
Zurück zum Zitat Plante S, Cantor WJ, Goldman L, Miner S, Quesnelle A, Ganapathy A, et al. Comparison of bivalirudin versus heparin on radial artery occlusion after transradial catheterization. Catheter Cardiovasc Interv. 2010;76(5):654–8.PubMedCrossRef Plante S, Cantor WJ, Goldman L, Miner S, Quesnelle A, Ganapathy A, et al. Comparison of bivalirudin versus heparin on radial artery occlusion after transradial catheterization. Catheter Cardiovasc Interv. 2010;76(5):654–8.PubMedCrossRef
9.
Zurück zum Zitat Bernat I, Bertrand OF, Rokyta R, Kacer M, Pesek J, Koza J, et al. Efficacy and safety of transient ulnar artery compression to recanalize acute radial artery occlusion after transradial catheterization. Am J Cardiol. 2011;107(11):1698–701.PubMedCrossRef Bernat I, Bertrand OF, Rokyta R, Kacer M, Pesek J, Koza J, et al. Efficacy and safety of transient ulnar artery compression to recanalize acute radial artery occlusion after transradial catheterization. Am J Cardiol. 2011;107(11):1698–701.PubMedCrossRef
10.
Zurück zum Zitat Saito S, Ikei H, Hosokawa G. Tanaka S Influence of the ratio between radial artery inner diameter and sheath outer diameter on radial artery flow after transradial coronary intervention. Catheter Cardiovasc Interv. 1999;46(2):173–8.PubMedCrossRef Saito S, Ikei H, Hosokawa G. Tanaka S Influence of the ratio between radial artery inner diameter and sheath outer diameter on radial artery flow after transradial coronary intervention. Catheter Cardiovasc Interv. 1999;46(2):173–8.PubMedCrossRef
11.
Zurück zum Zitat Pancholy S, Coppola J, Patel T, Roke-Thomas M. Prevention of radial artery occlusion-patent hemostasis evaluation trial (PROPHET study): a randomized comparison of traditional versus patency documented hemostasis after transradial catheterization. Catheter Cardiovasc Interv. 2008;72(3):335–40.PubMedCrossRef Pancholy S, Coppola J, Patel T, Roke-Thomas M. Prevention of radial artery occlusion-patent hemostasis evaluation trial (PROPHET study): a randomized comparison of traditional versus patency documented hemostasis after transradial catheterization. Catheter Cardiovasc Interv. 2008;72(3):335–40.PubMedCrossRef
12.
Zurück zum Zitat Cubero JM, Lombardo J, Pedrosa C, Diaz-Bejarano D, Sanchez B, Fernandez V, et al. Radial compression guided by mean artery pressure versus standard compression with a pneumatic device (RACOMAP). Catheter Cardiovasc Interv. 2009;73(4):467–72.PubMedCrossRef Cubero JM, Lombardo J, Pedrosa C, Diaz-Bejarano D, Sanchez B, Fernandez V, et al. Radial compression guided by mean artery pressure versus standard compression with a pneumatic device (RACOMAP). Catheter Cardiovasc Interv. 2009;73(4):467–72.PubMedCrossRef
13.
Zurück zum Zitat Pancholy SB, Bertrand OF, Patel T. Comparison of a priori versus provisional heparin therapy on radial artery occlusion after transradial coronary angiography and patent hemostasis (from the PHARAOH Study). Am J Cardiol. 2012;110(2):173–6.PubMedCrossRef Pancholy SB, Bertrand OF, Patel T. Comparison of a priori versus provisional heparin therapy on radial artery occlusion after transradial coronary angiography and patent hemostasis (from the PHARAOH Study). Am J Cardiol. 2012;110(2):173–6.PubMedCrossRef
14.
Zurück zum Zitat Rao SV, Tremmel JA, Gilchrist IC, Shah PB, Gulati R, Shroff AR, et al. Best practices for transradial angiography and intervention: A consensus statement from the society for cardiovascular angiography and intervention's transradial working group. Catheter Cardiovasc Interv. 2013. doi:10.1002/ccd.25209. Rao SV, Tremmel JA, Gilchrist IC, Shah PB, Gulati R, Shroff AR, et al. Best practices for transradial angiography and intervention: A consensus statement from the society for cardiovascular angiography and intervention's transradial working group. Catheter Cardiovasc Interv. 2013. doi:10.​1002/​ccd.​25209.
15.
Zurück zum Zitat Aminian A, Dolatabadi D, Lefebvre P, Zimmerman R, Brunner P, Michalakis G, et al. Initial experience with the glidesheath slender for transradial coronary angiography and intervention: A feasibility study with prospective radial ultrasound follow-up. Catheter Cardiovasc Interv. 2013. doi:10.1002/ccd.25232. Aminian A, Dolatabadi D, Lefebvre P, Zimmerman R, Brunner P, Michalakis G, et al. Initial experience with the glidesheath slender for transradial coronary angiography and intervention: A feasibility study with prospective radial ultrasound follow-up. Catheter Cardiovasc Interv. 2013. doi:10.​1002/​ccd.​25232.
16.
Zurück zum Zitat Pancholy SB, Patel TM. Effect of duration of hemostatic compression on radial artery occlusion after transradial access. Catheter Cardiovasc Interv. 2012;79(1):78–81.PubMedCrossRef Pancholy SB, Patel TM. Effect of duration of hemostatic compression on radial artery occlusion after transradial access. Catheter Cardiovasc Interv. 2012;79(1):78–81.PubMedCrossRef
Metadaten
Titel
Strategies to Prevent Radial Artery Occlusion After Transradial PCI
verfasst von
Samir B. Pancholy
Publikationsdatum
01.07.2014
Verlag
Springer US
Erschienen in
Current Cardiology Reports / Ausgabe 7/2014
Print ISSN: 1523-3782
Elektronische ISSN: 1534-3170
DOI
https://doi.org/10.1007/s11886-014-0505-4

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