Use of a novel access technology for femoral artery catheterization: results of the RECITAL trial.

نویسندگان

  • Zoltan G Turi
  • Dale C Wortham
  • Gregory C Sampognaro
  • Frank D Kresock
  • John S Held
  • Ray D Smith
  • Kalyan K Veerina
  • Tomoaki Hinohara
  • Amir Kaki
چکیده

OBJECTIVE To present results of a registry of a novel vascular access device. BACKGROUND Arterial access has been largely unchanged for 60 years. The Arstasis device creates a novel shallow-angle arterial access designed to facilitate hemostasis without use of a vascular closure device (VCD) or implantation of a foreign body for closure. This is the first publication to report the outcomes of Arstasis access. METHODS Patients (n = 346) underwent routine diagnostic cardiac catheterization (Dx) at 8 sites in the United States. Patients were assessed for device success, time to hemostasis (TTH), early sit up, time to ambulation (TTA), time-to-discharge-eligibility (TTDe) as well as safety; 249 patients had Dx only, 97 crossed over to PCI. RESULTS Device deployment was successful in 97%; the other 3% converted to routine access. Mean TTH and TTA for Dx were 4.0 ± 2.5 minutes and 1.5 ± 1.2 hours, respectively; for PCI it was 6.9 ± 5.1 minutes and 3.2 ± 3.3 hours. A subset of 245 patients (72.9%) sat up within 30 minutes after hemostasis; early sit-up was successful in all but 1 (99.6%). TTDe for Dx was 2.7 ± 1.6 hours. There were no major access-site related complications; minor complications were primarily subclinical hematomas in 1.2%. CONCLUSIONS Arstasis access is associated with short TTH and TTA, early sit up after sheath pull, and accelerated TTDe, achieved without use of VCDs or implantation of a foreign body, with high success and minimal complication rates.

برای دانلود رایگان متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Predictors of Conversion from Radial Into Femoral Access in Cardiac Catheterization

BACKGROUND Fewer bleeding complications and early ambulation make radial access a privileged route for cardiac catheterization. However, transradial (TR) approach is not always successful, requiring its conversion into femoral access. OBJECTIVES To evaluate the rate of conversion from radial into femoral access in cardiac catheterization and to identify its predictors. METHODS Prospective d...

متن کامل

Safety and Feasibility of Transradial Catheterization in Breast Cancer Survivors: A 2-Center International Experience.

We thank Drs. Chugh and Chugh for their interest in our work (1) and for their comments. We agree that access failure remains a limitation of transradial intervention (TRI). As demonstrated in SAFE-PCI for Women (Study of Access Site for Enhancement of PCI for Women) trial, radial artery spasm (RAS) is a major contributor to access site crossover from radial to femoral. Women generally have sma...

متن کامل

Reply: Transradial PCI in Women: Zeroing in on Crossovers.

We thank Drs. Chugh and Chugh for their interest in our work (1) and for their comments. We agree that access failure remains a limitation of transradial intervention (TRI). As demonstrated in SAFE-PCI for Women (Study of Access Site for Enhancement of PCI for Women) trial, radial artery spasm (RAS) is a major contributor to access site crossover from radial to femoral. Women generally have sma...

متن کامل

Facilitating radial conversion.

I was trained with femoral catheterization techniques and found catheterization from the right radial artery to be a frustrating experience. Specialized catheters were of no avail in reducing excessive fluoroscopic time or providing the guide catheter support that I was accustomed to from the femoral approach. I nearly abandoned the radial technique. I then chose to cannulate the left radial ar...

متن کامل

Access site complications following cardiac catheterization assessed by duplex ultrasonography.

Access site complications are major source of morbidity following cardiac catheterization. Their incidence varies in the literature because of multiple definitions and methods of determining the presence of particular complication. The aim of this prospective study was to determine the incidence of access site complications following cardiac catheterization using arterial duplex ultrasonography...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

عنوان ژورنال:
  • The Journal of invasive cardiology

دوره 25 1  شماره 

صفحات  -

تاریخ انتشار 2013