Primary percutaneous coronary intervention through transulnar approach: safety and effectiveness.
نویسندگان
چکیده
The transradial approach is safe and effective for coronary procedures. However, its use may be compromised in cases of variations in radial artery anatomy, spasms, and negative Allen's test. The transulnar approach emerges as a viable alternative to transradial approach. We report on a patient who underwent primary angioplasty via ulnar artery without ischemic hand complications despite prior occlusion of the ipsilateral radial artery.
منابع مشابه
Safety and feasibility of transulnar catheterization when ipsilateral radial access is not available.
OBJECTIVES We evaluated the safety and feasibility of transulnar approach when ipsilateral radial access was not available. METHODS AND RESULTS From March 2011 until February 2013, 476 consecutive patients who underwent transulnar catheterization were included in a single center prospective registry of effectiveness and safety. Diagnostic coronary angiography accounted for 42% of cases, percu...
متن کاملTransulnar artery approach for percutaneous coronary intervention: an alternative route in a patient with challenging transfemoral access and hypoplastic radial artery.
Transradial coronary angiography and intervention has become a popular technique due to reduced local and bleeding complications, easier post-procedural care and patient preference. In certain patients, transradial access may not be possible due to various anatomical reasons. Usually, the transfemoral route is used for these patients. In a minority of patients, such as those with significant pe...
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ورودعنوان ژورنال:
- Arquivos brasileiros de cardiologia
دوره 91 4 شماره
صفحات -
تاریخ انتشار 2008