Document Detail

Ulnar artery as access site for cardiac catheterization: anatomical considerations.
MedLine Citation:
PMID:  18086137     Owner:  NLM     Status:  MEDLINE    
METHODS AND RESULTS: Transulnar approach was tried in 131 patients. In 29 patients there was no palpable ulnar artery or Allen test was negative. From the remaining 92 patients we performed successful coronary angiography and angioplasties in 59 patients (64% success rate in those who had palpable artery). The most frequent reason for access site failure (54.5% of all failed procedures) was inability to introduce wire despite good arterial flow. We found that the ulnar artery was not the largest artery of the forearm (mean diameter 2.76 +/- 0.08 mm compared with radial artery 3.11 +/- 0.12 mm) and had relatively frequent anatomical anomalies-11.9%. There were no major local complications, with very few minor complications. Spasm frequency was 13.6%, which is higher than that reported for transradial studies.
CONCLUSIONS: Transulnar artery approach is feasible for cardiac catheterization: however, it has higher access site failure rates in an unselected patient population. It could be used as an alternative option in selected patients, but operators must be prepared to overcome frequent anatomical anomalies and spasm.
Dobrin Vassilev; Diana Smilkova; Robert Gil
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Publication Detail:
Type:  Journal Article     Date:  2007-12-11
Journal Detail:
Title:  Journal of interventional cardiology     Volume:  21     ISSN:  0896-4327     ISO Abbreviation:  J Interv Cardiol     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-02-07     Completed Date:  2008-05-07     Revised Date:  2013-05-20    
Medline Journal Info:
Nlm Unique ID:  8907826     Medline TA:  J Interv Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  56-60     Citation Subset:  IM    
Cardiology Clinic, University Hospital "Lozenetz," Sofia, Bulgaria.
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MeSH Terms
Aged, 80 and over
Cardiac Catheterization / adverse effects,  methods*
Catheters, Indwelling*
Coronary Angiography
Coronary Artery Disease
Feasibility Studies
Middle Aged
Ulnar Artery*

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

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