دورية أكاديمية
Safety and feasibility of upper limb vascular access for cardiac catheterization in anticoagulated and non-anticoagulated patients.
| العنوان: | Safety and feasibility of upper limb vascular access for cardiac catheterization in anticoagulated and non-anticoagulated patients. |
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| المؤلفون: | Marques FPL; Universidade Federal do Rio Grande do Sul, Postgraduate Program in Health Science: Cardiology and Cardiovascular Sciences, Porto Alegre, Brazil., Valle FH; Universidade Federal do Rio Grande do Sul, Postgraduate Program in Health Science: Cardiology and Cardiovascular Sciences, Porto Alegre, Brazil., Araujo GN; Universidade Federal do Rio Grande do Sul, Postgraduate Program in Health Science: Cardiology and Cardiovascular Sciences, Porto Alegre, Brazil., Pinheiro Machado G; Universidade Federal do Rio Grande do Sul, Postgraduate Program in Health Science: Cardiology and Cardiovascular Sciences, Porto Alegre, Brazil., Amantea R; Universidade Federal do Rio Grande do Sul, School of Medicine, Porto Alegre, Brazil., Fuchs FC; Universidade Federal do Rio Grande do Sul, Postgraduate Program in Health Science: Cardiology and Cardiovascular Sciences, Porto Alegre, Brazil.; Hospital de Clínicas de Porto Alegre, Division of Cardiology, Porto Alegre, Brazil., Bergoli LC; Universidade Federal do Rio Grande do Sul, Postgraduate Program in Health Science: Cardiology and Cardiovascular Sciences, Porto Alegre, Brazil.; Hospital de Clínicas de Porto Alegre, Division of Cardiology, Porto Alegre, Brazil., Goncalves SC; Universidade Federal do Rio Grande do Sul, Postgraduate Program in Health Science: Cardiology and Cardiovascular Sciences, Porto Alegre, Brazil.; Hospital de Clínicas de Porto Alegre, Division of Cardiology, Porto Alegre, Brazil., Wainstein M; Universidade Federal do Rio Grande do Sul, Postgraduate Program in Health Science: Cardiology and Cardiovascular Sciences, Porto Alegre, Brazil.; Hospital de Clínicas de Porto Alegre, Division of Cardiology, Porto Alegre, Brazil., Wainstein R; Universidade Federal do Rio Grande do Sul, Postgraduate Program in Health Science: Cardiology and Cardiovascular Sciences, Porto Alegre, Brazil.; Hospital de Clínicas de Porto Alegre, Division of Cardiology, Porto Alegre, Brazil. |
| المصدر: | The journal of vascular access [J Vasc Access] 2021 Nov; Vol. 22 (6), pp. 935-941. Date of Electronic Publication: 2020 Nov 08. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Sage Publications Country of Publication: United States NLM ID: 100940729 Publication Model: Print-Electronic Cited Medium: Internet ISSN: 1724-6032 (Electronic) Linking ISSN: 11297298 NLM ISO Abbreviation: J Vasc Access Subsets: MEDLINE |
| أسماء مطبوعة: | Publication: 2018- : Thousand Oaks, CA : Sage Publications Original Publication: Milano ; Birmingham : Wichtig, c2000- |
| مواضيع طبية MeSH: | Cardiac Catheterization*/adverse effects , Radial Artery*/diagnostic imaging, Adult ; Aged ; Feasibility Studies ; Humans ; Middle Aged ; Upper Extremity ; Veins |
| مستخلص: | Background: The upper limb approach utilizing transradial access for combined left and right heart catheterization (CLRHC) and ultrasound-guided antecubital venous access for isolated right heart catheterization (IRHC) are strategies that may reduce risks, especially in anticoagulated patients. combined left and right heart catheterization. Objectives: To assess safety and feasibility of upper limb approach for IRHC or CLRHC in anticoagulated versus non-anticoagulated patients. Methods: Ninety-three patients who underwent IRHC or CLRHC with ultrasound-guided antecubital venous access and transradial arterial access were prospectively enrolled. The primary outcome was a composite of procedure failure and incidence of immediate vascular complications. Results: Of the 93 patients, 44 (47%) were on anticoagulation and 49 (53%) were not. Mean age was 54 ± 17 and 53 ± 15 years, respectively. Atrial fibrillation (39% vs 15%) and chronic kidney disease (21% vs 6%) were more common in anticoagulated patients. The main indication for anticoagulation was deep vein thrombosis/pulmonary thromboembolism in 22 patients (50%). The primary outcome occurred in 4 (8%) patients in the non-anticoagulated group as compared with 0 in the anticoagulated group ( p = 0.12). Procedure failure occurred in two patients (4%) and immediate vascular complications in two patients (4%) in the non-anticoagulated group ( p = 0.3 for all). There was no difference between groups regarding duration of the procedure, radiation dose, fluoroscopy time, post-procedure recovery room time and median time to venous or arterial hemostasis. Conclusions: The upper limb approach for heart catheterization had similar rates of procedure failure and immediate vascular complications in anticoagulated patients when compared to non-anticoagulated patients. |
| فهرسة مساهمة: | Keywords: Right heart catheterization; brachial/radial/ulnar; catheterization; vascular complications |
| تواريخ الأحداث: | Date Created: 20201109 Date Completed: 20211124 Latest Revision: 20220531 |
| رمز التحديث: | 20221213 |
| DOI: | 10.1177/1129729820971528 |
| PMID: | 33164636 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1724-6032 |
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| DOI: | 10.1177/1129729820971528 |