Document Detail

Right and Left Heart Catheterization via an Antecubital Fossa Vein and the Radial Artery - A Prospective Study.
MedLine Citation:
PMID:  25480997     Owner:  NLM     Status:  Publisher    
Right heart catheterization has been described via the arm but previous reports have been retrospective, performed for limited indications, and may not give an accurate assessment of the success rate or safety of this technique. We sought to prospectively examine the feasibility and safety of left and right heart catheterization entirely via the arm using the radial artery and an antecubital fossa vein for a broad range of indications. Fifty-eight consecutive procedures were included. Transradial arterial access was successful in 57 patients (98%), right heart catheterization via the antecubital fossa vein was successful in 54 patients (93%) and bilateral catheterization from the arm was achieved in 53 patients (91%). Standard diagnostic catheterization was the most frequent procedure (59%), although thermodilution (6.9%), percutaneous coronary intervention (33%), and coronary sinus sampling (16%) were also performed in selected cases. Compared to a historical cohort of patients undergoing right and left heart catheterization via femoral access, mean procedural time (38 vs 47 minutes; P=.03) and screening time (8.1 vs 11.2 minutes; P<.001) were significantly reduced. There was 1 venous forearm hematoma that was managed conservatively. Right and left heart catheterization can be performed routinely via the arm in a broad range of patients and is associated with reduced procedural and fluoroscopy time as compared to femoral access. This approach can be considered for all patients in whom right and left heart catheterization is planned.
Paul D Williams; Sonny Palmer; Chris Judkins; Jack Gutman; Rob Whitbourn; Andrew MacIsaac; Bo Xu; Andrew Burns; Andrew Wilson
Related Documents :
22591237 - Myocardial mechanics: understanding and applying three-dimensional speckle tracking ech...
25382337 - Echocardiographic evaluation of right ventricular function in congenital heart disease.
25359347 - Sleep disordered breathing and enlargement of the right heart after myocardial infarction.
6424147 - Experimental ventricular preexcitation--type wpw syndrome.
1303017 - Investigation of antiischemic properties and mechanism of action of azacrown ether deri...
1624967 - A coronary primary prevention study of scottish men aged 45-64 years: trial design. the...
Publication Detail:
Journal Detail:
Title:  The Journal of invasive cardiology     Volume:  26     ISSN:  1557-2501     ISO Abbreviation:  J Invasive Cardiol     Publication Date:  2014 Dec 
Date Detail:
Created Date:  2014-12-6     Completed Date:  -     Revised Date:  2014-12-7    
Medline Journal Info:
Nlm Unique ID:  8917477     Medline TA:  J Invasive Cardiol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  669-673     Citation Subset:  -    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms

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

Previous Document:  Saphenous Vein Graft Intervention: Status Report 2014.
Next Document:  Feasibility of Using a Sheathless Guiding Catheter for Left Ventricular Endomyocardial Biopsy Perfor...