Radial artery cathetarization overview: Difference between revisions
Jump to navigation
Jump to search
| Line 6: | Line 6: | ||
==Overview== | ==Overview== | ||
Following the introduction of radial percutaneous coronary intervention (r-PCI) in 1989 by Canadian Cardiologist, Lucian Campeau,<ref name="Campeau-1989">{{Cite journal | last1 = Campeau | first1 = L. | title = Percutaneous radial artery approach for coronary angiography. | journal = Cathet Cardiovasc Diagn | volume = 16 | issue = 1 | pages = 3-7 | month = Jan | year = 1989 | doi = | PMID = 2912567 }}</ref> there have been a gradual increase in its preference over the femoral approach internationally;<ref name="Hamon-2013">{{Cite journal | last1 = Hamon | first1 = M. | last2 = Pristipino | first2 = C. | last3 = Di Mario | first3 = C. | last4 = Nolan | first4 = J. | last5 = Ludwig | first5 = J. | last6 = Tubaro | first6 = M. | last7 = Sabate | first7 = M. | last8 = Mauri-Ferré | first8 = J. | last9 = Huber | first9 = K. | title = Consensus document on the radial approach in percutaneous cardiovascular interventions: position paper by the European Association of Percutaneous Cardiovascular Interventions and Working Groups on Acute Cardiac Care** and Thrombosis of the European Society of Cardiology. | journal = EuroIntervention | volume = 8 | issue = 11 | pages = 1242-51 | month = Mar | year = 2013 | doi = 10.4244/EIJV8I11A192 | PMID = 23354100 }}</ref> with | Following the introduction of radial percutaneous coronary intervention (r-PCI) in 1989 by Canadian Cardiologist, Lucian Campeau,<ref name="Campeau-1989">{{Cite journal | last1 = Campeau | first1 = L. | title = Percutaneous radial artery approach for coronary angiography. | journal = Cathet Cardiovasc Diagn | volume = 16 | issue = 1 | pages = 3-7 | month = Jan | year = 1989 | doi = | PMID = 2912567 }}</ref> there have been a gradual increase in its preference over the femoral approach internationally;<ref name="Hamon-2013">{{Cite journal | last1 = Hamon | first1 = M. | last2 = Pristipino | first2 = C. | last3 = Di Mario | first3 = C. | last4 = Nolan | first4 = J. | last5 = Ludwig | first5 = J. | last6 = Tubaro | first6 = M. | last7 = Sabate | first7 = M. | last8 = Mauri-Ferré | first8 = J. | last9 = Huber | first9 = K. | title = Consensus document on the radial approach in percutaneous cardiovascular interventions: position paper by the European Association of Percutaneous Cardiovascular Interventions and Working Groups on Acute Cardiac Care** and Thrombosis of the European Society of Cardiology. | journal = EuroIntervention | volume = 8 | issue = 11 | pages = 1242-51 | month = Mar | year = 2013 | doi = 10.4244/EIJV8I11A192 | PMID = 23354100 }}</ref> with United States experiencing a 10-fold increase (1 in every 6 PCIs performed) in the adoption of transradial procedures between 2007 and 2012,<ref name="Feldman-2013">{{Cite journal | last1 = Feldman | first1 = DN. | last2 = Swaminathan | first2 = RV. | last3 = Kaltenbach | first3 = LA. | last4 = Baklanov | first4 = DV. |last5 = Kim | first5 = LK. | last6 = Wong | first6 = SC. | last7 = Minutello | first7 = RM. | last8 = Messenger | first8 = JC. | last9 = Moussa | first9 = I. |title = Adoption of radial access and comparison of outcomes to femoral access in percutaneous coronary intervention: an updated report from the national cardiovascular data registry (2007-2012). | journal = Circulation | volume = 127 | issue = 23 | pages = 2295-306 | month = Jun | year = 2013 | doi = 10.1161/CIRCULATIONAHA.112.000536 | PMID = 23753843 }}</ref> largely as a result of reduced major bleeding, vascular complications, length of hospital stay and cost, and increased patient satisfaction and quality of care. | ||
The rationale for the choice of radial access include: | The rationale for the choice of radial access include: | ||
* Decreased risk of limb ischemia - The hand has a dual arterial supply i.e., radial and ulnar arteries, which unites to form the superficial and deep palmer arches. Therefore, the radial artery is not an end artery like the femoral artery, thus decreasing the risk of arterial occlusion post PCI. | * Decreased risk of limb ischemia - The hand has a dual arterial supply i.e., radial and ulnar arteries, which unites to form the superficial and deep palmer arches. Therefore, the radial artery is not an end artery like the femoral artery, thus decreasing the risk of arterial occlusion post PCI. | ||
Revision as of 22:55, 26 November 2013
|
Radial artery cathetarization Microchapters |
|
Case Studies |
|---|
|
Radial artery cathetarization overview On the Web |
|
American Roentgen Ray Society Images of Radial artery cathetarization overview |
|
Directions to Hospitals Treating Radial artery cathetarization |
|
Risk calculators and risk factors for Radial artery cathetarization overview |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Ayokunle Olubaniyi, M.B,B.S [2]
Overview
Following the introduction of radial percutaneous coronary intervention (r-PCI) in 1989 by Canadian Cardiologist, Lucian Campeau,[1] there have been a gradual increase in its preference over the femoral approach internationally;[2] with United States experiencing a 10-fold increase (1 in every 6 PCIs performed) in the adoption of transradial procedures between 2007 and 2012,[3] largely as a result of reduced major bleeding, vascular complications, length of hospital stay and cost, and increased patient satisfaction and quality of care. The rationale for the choice of radial access include:
- Decreased risk of limb ischemia - The hand has a dual arterial supply i.e., radial and ulnar arteries, which unites to form the superficial and deep palmer arches. Therefore, the radial artery is not an end artery like the femoral artery, thus decreasing the risk of arterial occlusion post PCI.
- Decreased risk of bleeding - The superficial course of the distal radial artery allows for easy compressibility in order to minimize hemorrhage post PCI.
References
- ↑ Campeau, L. (1989). "Percutaneous radial artery approach for coronary angiography". Cathet Cardiovasc Diagn. 16 (1): 3–7. PMID 2912567. Unknown parameter
|month=ignored (help) - ↑ Hamon, M.; Pristipino, C.; Di Mario, C.; Nolan, J.; Ludwig, J.; Tubaro, M.; Sabate, M.; Mauri-Ferré, J.; Huber, K. (2013). "Consensus document on the radial approach in percutaneous cardiovascular interventions: position paper by the European Association of Percutaneous Cardiovascular Interventions and Working Groups on Acute Cardiac Care** and Thrombosis of the European Society of Cardiology". EuroIntervention. 8 (11): 1242–51. doi:10.4244/EIJV8I11A192. PMID 23354100. Unknown parameter
|month=ignored (help) - ↑ Feldman, DN.; Swaminathan, RV.; Kaltenbach, LA.; Baklanov, DV.; Kim, LK.; Wong, SC.; Minutello, RM.; Messenger, JC.; Moussa, I. (2013). "Adoption of radial access and comparison of outcomes to femoral access in percutaneous coronary intervention: an updated report from the national cardiovascular data registry (2007-2012)". Circulation. 127 (23): 2295–306. doi:10.1161/CIRCULATIONAHA.112.000536. PMID 23753843. Unknown parameter
|month=ignored (help)