Document Detail


Percutaneous ulnar artery approach for primary coronary angioplasty: safety and feasibility.
MedLine Citation:
PMID:  14696160     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Transradial approach in primary and rescue angioplasty may be advantageous with respect to the femoral access due to the lower incidence of vascular complications. Ulnar cannulation has been proposed for elective procedures in patients not suitable for transradial approach. We here report on 13 patients undergoing primary angioplasty performed using the transulnar approach. Ulnar access was finally obtained in 10 patients, sheath insertion time ranged from 2 to 5 min, time from arterial puncture to vessel recanalization ranged from 21 to 36 min. Primary angioplasty was successful in all patients. At 30-day echo color Doppler, all ulnar arteries were patent and with a physiologic pattern of flow. Subcutaneous hemorrhage of the forearm was observed in two patients, whereas hematoma, pseudoaneurysm, thrombus, and arterovenous fistula were not observed. In conclusion, transulnar access may represent an additional option in patients undergoing primary angioplasty when the radial artery access site is not available.
Authors:
Ugo Limbruno; Roberta Rossini; Marco De Carlo; Giovanni Amoroso; Nicola Ciabatti; Anna Sonia Petronio; Andrea Micheli; Mario Mariani
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions     Volume:  61     ISSN:  1522-1946     ISO Abbreviation:  Catheter Cardiovasc Interv     Publication Date:  2004 Jan 
Date Detail:
Created Date:  2003-12-29     Completed Date:  2004-06-01     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  100884139     Medline TA:  Catheter Cardiovasc Interv     Country:  United States    
Other Details:
Languages:  eng     Pagination:  56-9     Citation Subset:  IM    
Copyright Information:
Copyright 2004 Wiley-Liss, Inc.
Affiliation:
Cardiothoracic Department, University of Pisa, Pisa, Italy. ulimbru@tin.it
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MeSH Terms
Descriptor/Qualifier:
Angioplasty, Transluminal, Percutaneous Coronary / methods*
Humans
Regional Blood Flow / physiology
Treatment Outcome
Ulnar Artery / physiology*,  ultrasonography

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