학술논문
Simultaneous radio-ulnar cannulation: shifting gears from 'feasibility' to 'applicability'
Commentary
Commentary
Document Type
Letter to the editor
Source
The Egyptian Heart Journal. November 12, 2021, Vol. 73 Issue 1
Subject
Language
English
ISSN
1110-2608
Abstract
Author(s): Ankit Kumar Sahu [sup.1], Sudesh Prajapati [sup.1], Danish Hasan Kazmi [sup.2] Author Affiliations: (1) grid.263138.d, 0000 0000 9346 7267, Department of Cardiology, Sanjay Gandhi Postgraduate Institute of Medical Sciences [...]
Conventionally, routes of vascular access commonly include femoral and radial arteries with brachial, ulnar and subclavian arteries being rarely used for coronary interventions. Non-femoral arterial access is being increasingly preferred to minimise groin puncture site complications, prolonged immobilization and duration of hospital stay. However, radial artery cannulation is also fraught with fears of tortuosity, loops, vascular spasm, perforation, pseudoaneurysm formation, arm hematoma and arterial occlusion. In contemporary practice when most of the coronary procedures are being done via transradial access, encountering one of the above-mentioned hurdles often forces the operator to switchover to femoral access. Here, we explore the rationale, feasibility, operational logistics, clinical implications and future directions for using simultaneous radio-ulnar arterial access in the same extremity.
Conventionally, routes of vascular access commonly include femoral and radial arteries with brachial, ulnar and subclavian arteries being rarely used for coronary interventions. Non-femoral arterial access is being increasingly preferred to minimise groin puncture site complications, prolonged immobilization and duration of hospital stay. However, radial artery cannulation is also fraught with fears of tortuosity, loops, vascular spasm, perforation, pseudoaneurysm formation, arm hematoma and arterial occlusion. In contemporary practice when most of the coronary procedures are being done via transradial access, encountering one of the above-mentioned hurdles often forces the operator to switchover to femoral access. Here, we explore the rationale, feasibility, operational logistics, clinical implications and future directions for using simultaneous radio-ulnar arterial access in the same extremity.