Document Detail


Coronary angiography and angioplasty using the aberrant radial artery as an access site.
MedLine Citation:
PMID:  16954579     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To study the suitability of the aberrant radial artery (ARA) as an access site for coronary angiography and angioplasty. BACKGROUND: In certain situations, the radial artery operator finds that the right radial artery in its usual location is unsuitable for a transradial procedure (TRP). In such cases, the ARA should be considered as an alternate access site. METHODS: Between January 2002 and December 2004, all patients considered suitable for a TRP with a clinically absent radial artery, or a small radial artery and a palpable ARA, underwent a TRP using this vessel as an access site. We describe the technical aspects and the differences that this approach entails, in comparison to the standard radial artery approach to TRPs. RESULTS: Of the 3,610 patients considered suitable for a TRP, 22 patients underwent 29 procedures using the ARA as an access site [22 angiograms and 7 percutaneous transluminal coronary angioplasty procedures (PTCAs)]. The median age of the patients was 55 years, with 19 males and 3 females. All procedures using the aberrant radial artery were successful. None of the patients developed spasm or an access site complication. The mean fluoroscopy time for angiography in the right radial artery group was 4.6 minutes, and 4.8 minutes for the ARA group. The procedure timed were 24 minutes and 32 minutes, respectively. CONCLUSION: The aberrant radial artery can be used as a safe alternate access site for coronary angiography and angioplasty when the right radial artery at the usual site is not suitable.
Authors:
Rajpal K Abhaichand; K A Sambasivam; P R Vydianathan; P Raveendran; M Saigopalan; Sundar Gomathi; Mathew Anil
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Publication Detail:
Type:  Evaluation Studies; Journal Article    
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  18     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2006 Sep 
Date Detail:
Created Date:  2006-09-06     Completed Date:  2006-09-27     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  412-6     Citation Subset:  IM    
Affiliation:
G. Kuppuswamy Naidu Hospital, Cardiology Department, Coimbatore, India.
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Balloon / methods*
Coronary Angiography / methods*
Female
Humans
Male
Middle Aged
Punctures / methods
Radial Artery / abnormalities*
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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