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| http://dx.doi.org/10.1007/s12471-021-01586-3 | DOI Listing |
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Feasibility and Safety of Distal Radial Artery Access with Recanalization of a Chronic Radial Artery Occlusion for Subsequent Coronary Angiography and Intervention.
Acta Cardiol Sin
January 2025
Department of Internal Medicine, Division of Cardiology, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.
Aims: This study aims to verify the feasibility and safety of percutaneous coronary intervention (PCI) after a distal transradial approach (dTRA) with radial artery occlusion (RAO) recanalization.
Methods: Between July 2018 and January 2022, 30 patients underwent PCI following attempted RAO recanalization via dTRA. Among these cases, the target radial arteries could not be recanalized in five patients, necessitating alternative vascular access.
Article Synopsis
- - The study compares radial and femoral access during primary percutaneous coronary intervention (PCI) for ST-elevation myocardial infarction (STEMI) patients, focusing on complications associated with each method.
- - Results show that the radial access group had a significantly lower rate of complications (11.4% vs. 22.9%) and major bleeding events (2.3% vs. 8.6%), as well as shorter hospital stays (three days vs. five days).
- - Despite these differences in complications and hospital stays, the procedural success rates were similar for both access sites (97.1% for radial vs. 94.3% for femoral).
The trans-radial approach for endovascular intervention of the problem arterio-venous fistula: A single-centre case series and systematic review.
J Vasc Access
November 2024
Department of Vascular Surgery, Westmead Hospital, Westmead, NSW, Australia.
Introduction: The arteriovenous fistula (AVF) is the gold standard access modality for haemodialysis, but due to patient and technical factors, it is prone to stenosis and thrombosis. The trans-radial approach offers multiple unique benefits, but its safety, efficiency and efficacy have not been rigorously studied in the context of the AVF. This study provides a case series of trans-radial AVF procedures, and a systematic review and meta-analysis of existing literature to solidify the role of the trans-radial approach in endovascular AVF surgery.
View Article and Find Full Text PDFBackground: Endovascular treatment of peripheral arterial disease requires safe and reliable arterial access. This study evaluates the feasibility and safety of percutaneous axillary artery access for endovascular therapy. A variety of anatomic and logistic obstacles can be overcome with upper extremity access.
View Article and Find Full Text PDFUltrasound-guided thrombin injection for cardiac catheterization pseudoaneurysms: efficacy, safety, and predictors.
Acta Radiol
November 2024
Interventional Radiologist, Radiology Department, Heart Institute (InCor), University of São Paulo Medical School (FMUSP), São Paulo, Brazil.
Background: Percutaneous ultrasound-guided thrombin injection has become the gold standard treatment for pseudoaneurysms caused by cardiac catheterization. However, failure can occur in up to 25% of the procedures and little is known about its causes.
Purpose: To study the efficacy and safety of the technique and to determine possible risk factors responsible for the unsuccess.
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