Transradial coronary intervention without pre-screening for a dual palmar blood supply

被引:40
作者
Ghuran, A. V. [1 ]
Dixon, G. [1 ]
Holmberg, S. [1 ]
de Belder, A. [1 ]
Hildick-Smith, D. [1 ]
机构
[1] Sussex Cardiac Ctr, Brighton BN2 5BE, E Sussex, England
关键词
angiography; transradial catheterization; percutaneous coronary intervention;
D O I
10.1016/j.ijcard.2006.11.009
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
It is usual practice to determine the presence of collateral blood supply to the hand prior to radial artery cannulation. We propose that pre-screening for a dual palmar vascular supply is not necessary and the presence of a palpable radial pulse is sufficient to allow successful radial artery cannulation. We retrospectively analysed our interventional PTCA registry, including only patients who had a transradial procedure without being pre-screened with an Allen's test or plethysmography. We report our data including complications the day after the procedure and at 30 days, and provide an up to date discussion on the need to assess patients for a dual palmar blood supply prior to transradial intervention. (C) 2006 Elsevier Ireland Ltd. All rights reserved.
引用
收藏
页码:320 / 322
页数:3
相关论文
共 11 条
[2]   Evaluation of the ulnopalmar arterial arches with pulse oximetry and plethysmography:: Comparison with the Allen's test in 1010 patients [J].
Barbeau, GR ;
Arsenault, F ;
Dugas, L ;
Simard, S ;
Larivière, MM .
AMERICAN HEART JOURNAL, 2004, 147 (03) :489-493
[3]   RADIAL ARTERIAL FUNCTION FOLLOWING PERCUTANEOUS CANNULATION WITH 18-GAUGE AND 20-GAUGE CATHETERS [J].
BEDFORD, RF .
ANESTHESIOLOGY, 1977, 47 (01) :37-39
[4]   THE RESULTS OF RADIAL AND ULNAR ARTERIAL REPAIR IN THE FOREARM - EXPERIENCE IN 3 MEDICAL-CENTERS [J].
GELBERMAN, RH ;
NUNLEY, JA ;
KOMAN, LA ;
GOULD, JS ;
HERGENROEDER, PT ;
MACCLEAN, CR ;
URBANIAK, JR .
JOURNAL OF BONE AND JOINT SURGERY-AMERICAN VOLUME, 1982, 64 (03) :383-387
[5]   Vascular communications of the hand in patients being considered for transradial coronary angiography - Is the Allen's test accurate? [J].
Greenwood, MJ ;
Della-Siega, AJ ;
Fretz, EB ;
Kinloch, D ;
Klinke, P ;
Mildenberger, R ;
Williams, MB ;
Hilton, D .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2005, 46 (11) :2013-2017
[6]   Comparison of radial versus brachial approaches for diagnostic coronary angiography when the femoral approach is contraindicated [J].
Hildick-Smith, DJR ;
Ludman, PF ;
Lowe, MD ;
Stephens, NG ;
Harcombe, AA ;
Walsh, JT ;
Stone, DL ;
Shapiro, LM ;
Schofield, PM ;
Petch, MC .
AMERICAN JOURNAL OF CARDIOLOGY, 1998, 81 (06) :770-772
[7]   A randomized comparison of percutaneous transluminal coronary angioplasty by the radial, brachial and femoral approaches: The access study [J].
Kiemeneij, F ;
Laarman, GJ ;
Odekerken, D ;
Slagboom, T ;
vanderWieken, R .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1997, 29 (06) :1269-1275
[8]   Acute compartment syndrome after transradial coronary angioplasty [J].
Lin, YJ ;
Chu, CC ;
Tsai, CW .
INTERNATIONAL JOURNAL OF CARDIOLOGY, 2004, 97 (02) :311-311
[9]   Surgical implications of variations in hand collateral circulation: Anatomy revisited [J].
Ruengsakulrach, P ;
Eizenberg, N ;
Fahrer, C ;
Fahrer, M ;
Buxton, BF .
JOURNAL OF THORACIC AND CARDIOVASCULAR SURGERY, 2001, 122 (04) :682-686
[10]   ON THE SAFETY OF RADIAL ARTERY CANNULATION [J].
SLOGOFF, S ;
KEATS, AS ;
ARLUND, C .
ANESTHESIOLOGY, 1983, 59 (01) :42-47