scholarly journals Transbrachial approach as the first alternative to transradial approach for coronary angiography

2021 ◽  
Vol 16 (1-2) ◽  
pp. 40-40
Author(s):  
Lara Gudelj ◽  
Matias Trbušić
2010 ◽  
Vol 7 (1) ◽  
pp. 81-84
Author(s):  
Olivier F Bertrand ◽  
Tift Mann ◽  
◽  


2018 ◽  
Vol 59 (1) ◽  
pp. 52-56 ◽  
Author(s):  
Antonios Ziakas ◽  
Matthaios Didagelos ◽  
Georgios Hahalis ◽  
Michael Koutouzis ◽  
Grigorios Tsigkas ◽  
...  

2020 ◽  
Vol 18 (2) ◽  
pp. 26-34
Author(s):  
Saad Mahmood Zaidan ◽  
◽  
Ammar Zaidan Ammran ◽  
Zakariya Jubran Khaleel

2019 ◽  
Vol 35 (4) ◽  
pp. 502-508 ◽  
Author(s):  
Lewandowski Pawel ◽  
Gralak-Lachowska Dagmara ◽  
Maciejewski Pawel ◽  
Ramotowski Bogumil ◽  
Budaj Andrzej ◽  
...  

Abstract Hemostatic devices used in the transradial approach (TRA) and transulnar approach (TUA) are limited. This study compared the efficacy and safety of hemostasis using the QuikClot Radial hemostatic pad (QC) vs. standard mechanical compression (SC) after coronary angiography (CAG). This prospective single-center randomized trial included CAG patients. The primary and secondary endpoints were efficacy (successful hemostasis) and safety (total artery occlusion [TAO], pseudoaneurysm, hematoma), respectively. A visual analog scale (VAS) evaluated patient pain during compression. In 2013–2017, 200 patients were randomized 2 × 2 into the: (1) TRA and TUA groups and (2) QC and SC groups. Successful hemostasis was achieved in 92 (92%) patients in the QC group and 100 (100%) patients in the SC group (p < 0.006). The TRA SC subgroup showed significantly better results than the TRA QC subgroup (100% vs. 90.0%; p < 0.03). Similar results were obtained in the TUA QC and TUA SC subgroups (95% vs. 100%; p = 0.5). The secondary endpoint was achieved in the QC and SC groups (8% vs. 9%; p = 0.8). Patients reported significantly less pain during QC application than during SC (VAS: 2.6 ± 2.6 vs. 3.4 ± 2.9; p < 0.03). In patients undergoing CAG with TRA or TUA, QC was associated with lower efficacy, less discomfort, and similar safety compared to SC.


1995 ◽  
Vol 76 (3) ◽  
pp. 164-167 ◽  
Author(s):  
Chaim Lotan ◽  
Yonathan Hasin ◽  
Morris Mosseri ◽  
Yoseph Rozenman ◽  
Dan Admon ◽  
...  

2004 ◽  
Vol 45 (5) ◽  
pp. 723-731 ◽  
Author(s):  
Naoto Fukuda ◽  
Shin-ichiro Iwahara ◽  
Atsushi Harada ◽  
Shinya Yokoyama ◽  
Kouichi Akutsu ◽  
...  

Angiology ◽  
2016 ◽  
Vol 68 (4) ◽  
pp. 281-287 ◽  
Author(s):  
Renatomaria Bianchi ◽  
Ludovica D’Acierno ◽  
Mario Crisci ◽  
Donato Tartaglione ◽  
Maurizio Cappelli Bigazzi ◽  
...  

Since the first cardiac catheterization in 1929, this procedure has evolved considerably. Historically performed via the transfemoral access, in the last years, the transradial access has been spreading gradually due to its many advantages. We have conducted a review of published literature concerning efficacy, safety, and cost-effectiveness, and we analyzed our patients’ data, including the results of the recently published Minimizing Adverse hemorrhagic events by TRansradial access site and systemic implementation of angioX (MATRIX) study. This review confirmed the superiority of the transradial access compared to the femoral access, especially regarding complications related to the access site, duration of hospitalization, and comfort for the patient. The transradial approach is an excellent option for coronary angiography, and the procedure’s risks are reduced by increased operator experience.


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