TRANSRADIAL APPROACH DURING PERCUTANEOUS CORONARY INTERVENTIONS. PART 2. PRACTICAL GUIDELINES AND THE AUTHORS’ DATA
https://doi.org/10.20862/0042-4676-2014-0-2-52-59
Abstract
The paper describes the technical features of a transradial approach; indications and patient selection for this arterial approach; and stepwise patient preparation. It depicts the anatomic variants of the origin of the radial artery, which affect the success of this approach. The suitable instruments for this approach are described. The authors give their results of the performed study comparing different types of approaches.
About the Authors
A. S. Tereshchenko
Russian Cardiology Research-and-Production Complex, Ministry of Health of the RF
Russian Federation
Russian Federation
Cardiologist
ul. Tret’ya Cherepkovskaya, 15a, Moscow, 121552
Sh. T. Zhamgyrchiev
Russian Cardiology Research-and-Production Complex, Ministry of Health of the RF
Russian Federation
Russian Federation
MD, PhD, Cardiologist
ul. Tret’ya Cherepkovskaya, 15a, Moscow, 121552
E. V. Merkulov
Russian Cardiology Research-and-Production Complex, Ministry of Health of the RF
Russian Federation
Russian Federation
MD, PhD, Researcher of the Department of Endovascular Diagnosis and Treatment
ul. Tret’ya Cherepkovskaya, 15a, Moscow, 121552
V. M. Mironov
Russian Cardiology Research-and-Production Complex, Ministry of Health of the RF
Russian Federation
Russian Federation
Cardiologist
ul. Tret’ya Cherepkovskaya, 15a, Moscow, 121552
I. V. Levitskiy
Russian Cardiology Research-and-Production Complex, Ministry of Health of the RF
Russian Federation
Russian Federation
MD, PhD, Senior Researcher of the Department of Endovascular Diagnosis and Treatment
ul. Tret’ya Cherepkovskaya, 15a, Moscow, 121552
R. O. Shirokov
Russian Cardiology Research-and-Production Complex, Ministry of Health of the RF
Russian Federation
Russian Federation
MD, PhD, Cardiologist
ul. Tret’ya Cherepkovskaya, 15a, Moscow, 121552
A. M. Gerasimov
Russian Cardiology Research-and-Production Complex, Ministry of Health of the RF
Russian Federation
Russian Federation
MD, PhD, Cardiologist
ul. Tret’ya Cherepkovskaya, 15a, Moscow, 121552
A. N. Samko
Russian Cardiology Research-and-Production Complex, Ministry of Health of the RF
Russian Federation
Russian Federation
MD, PhD, DSc, Professor, Head of the Department of Endovascular Diagnosis and Treatment
ul. Tret’ya Cherepkovskaya, 15a, Moscow, 121552
References
1. Heyde G.S., Koch K.T., de Winter R.J. Randomized Trial Comparing Same-Day Discharge With Overnight Hospital Stay After Percutaneous Coronary Intervention. Results of the Elective PCI in Outpatient Study (EPOS). Circulation. 2007; 115: 2299–306.
2. Самко А.Н. Катетеризация сердца и коронарная ангиография. В кн. Беленков Ю.Н., Терновой С.К. (ред.) Функциональная диагностика сердечно-сосудистых заболеваний. 2007: 941–3. Samko A.N. Cardiac catheterization and сoronary angiography. In: Belenkov Yu.N., Ternovoy S.K. (eds) Functional diagnosis of cardiovascular disease. 2007: 941–3 (in Russian).
3. Schiano P., Barbou F., Chenilleau M.C. et al. Adjusted weight anticoagulation for radial approach in elective coronarography: the AWARE coronarography study. EuroIntervention. 2010; 6: 247–50.
4. Меркулов Е.В., Миронов В.М., Самко А.Н. Коронарная ангиография, вентрикулография, шунтография в иллюстрациях и схемах. М.: Медиа-Медика; 2011: 18. Merkulov E.V., Mironov V.M., Samko A.N. Coronary angiography, ventriculography and shuntography in illustrations and schemas. Moscow: Media-Medica; 2011: 18 (in Russian).
5. Yu J., Korabathina R., Coppola J. et al. Transradial approach to subclavian artery stenting. J. Invasive Cardiol. 2010; 22: 204–6.
6. Coroleu S.F., Burzotta F., Fernández-Gómez C. et al. Feasibility of complex coronary and peripheral interventions by trans-radial approach using large sheaths. Catheter. Cardiovasc. Interv. 2012; 79: 597–600.
7. Staniloae C.S., Korabathina R., Yu J. et al. Safety and efficacy of transradial aortoiliac interventions. Catheter. Cardiovasc. Interv. 2010; 75: 659–62.
8. Bertrand B., Sene Y., Huygue O. et al. Doppler ultrasound imaging of the radial artery after catheterization. Ann. Cardiol. Angeiol. (Paris). 2003; 52: 135–8.
9. Rademakers L.M., Laarman G.J. Critical hand ischemia after transradial cardiac catheterisation: an uncommon complication of a common procedure. Neth. Heart J. 2012; 20: 372–5.
10. Pancholy S., Coppola J., Patel T. et al. Prevention of radial artery occlusion-patent hemostasis evaluation trial (PROPHET study): a randomized comparison of traditional versus patency documented hemostasis after transradial catheterization. Catheter. Cardiovasc. Interv. 2008; 72: 335–40.
11. Sanmartin M., Gomez M., Rumoroso J.R. et al. Interruption of blood flow during compression and radial artery occlusion after transradial catheterization. Catheter. Cardiovasc. Interv. 2007; 70: 185–9.
12. Zankl A.R., Andrassy M., Volz C. et al. Radial artery thrombosis following transradial coronary angiography: incidence and rationale for treatment of symptomatic patients with low-molecular-weight heparins. Clin. Res. Cardiol. 2010; 99: 841–7.
13. Jolly S.S., Yusuf S., Cairns J. et al. Radial versus femoral access for coronary angiography and intervention in patients with acute coronary syndromes (RIVAL): a randomised, parallel group, multicentre trial. Lancet. 2011; 377: 1409–20.
14. Kiemeneij F., Laarman G.J., de Melker E. Transradial coronary artery angioplasty. Am. Heart J. 1995; 129: 1–7.
15. Jolly S.S., Amlani S., Hamon M. et al. Radial versus femoral access for coronary angiography or intervention and the impact on major bleeding and ischemic events: a systematic review and meta-analysis of randomized trials. Am. Heart J. 2009; 157: 132–40.
16. Chase A.J., Fretz E.B., Warburton W.P. et al. The association of arterial access site at angioplasty with transfusion and mortality the M.O.R.T.A.L study: (Mortality benefit of Reduced Transfusion after PCI via the Arm or Leg). Heart. 2008; 94:1019– 25.
17. Cooper C.J., El-Shiekh R.A., Cohen D.J. et al. Effect of transradial access on quality of life and cost of cardiac catheterization: A randoized comparison. Am. Heart J. 1999; 138: 430–6.
Review
For citations:
Tereshchenko A.S., Zhamgyrchiev Sh.T., Merkulov E.V., Mironov V.M., Levitskiy I.V., Shirokov R.O., Gerasimov A.M., Samko A.N. TRANSRADIAL APPROACH DURING PERCUTANEOUS CORONARY INTERVENTIONS. PART 2. PRACTICAL GUIDELINES AND THE AUTHORS’ DATA. Journal of radiology and nuclear medicine. 2014;(2):52-59. (In Russ.) https://doi.org/10.20862/0042-4676-2014-0-2-52-59
Views:
563
Email this article 