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Safety and feasibility of simultaneous left and right heart catheterization via single-arm arterial and venous access
Affiliations- Rajaei Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
- Rajaei Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
- Tehran University of Medical Sciences, Tehran, Iran
open access
Abstract
Background: Catheterization via radial artery has become a widely preferred method for evaluation of the coronary arteries; however in patients requiring concomitant right heart catheterization radial access is used much less frequently despite its advantages.
Aims: In the present study we aimed to assess whether simultaneous left and right heart catheterization via radial artery and an antecubital vein might increase vascular access site complications.
Methods: In this prospective cohort study, 49 patients with congenital and valvular heart disease requiring both left and right heart catheterization were enrolled and rates of vascular access complications including radial artery obstruction (RAO) were compared to 49 subjects in the control group who underwent catheterization only via radial artery access.
Results: No major vascular complications occurred in the study population. Post procedural radial artery obstruction was detected in 14 (28.5%) and 7 (14.2%) of the venous-radial artery group and the control group respectively (P = 0.09). Age, sex, body mass index, wrist circumference, hemoglobin concentrations and history of smoking, diabetes mellitus, hypertension and anti-coagulant use had no effect on rate of radial pulse perseverance. However, shorter radial compression device removal times were significantly related to lower rates of radial artery obstruction in both groups.
Conclusion: Right and left heart catheterization via an upper-extremity route in patients with congenital and valvular heart disease is safe and practical with greater patient comfort and no serious vascular complications. Longer duration of radial compression is an important predictor of RAO regardless of use of an additional upper-extremity venous access.
Abstract
Background: Catheterization via radial artery has become a widely preferred method for evaluation of the coronary arteries; however in patients requiring concomitant right heart catheterization radial access is used much less frequently despite its advantages.
Aims: In the present study we aimed to assess whether simultaneous left and right heart catheterization via radial artery and an antecubital vein might increase vascular access site complications.
Methods: In this prospective cohort study, 49 patients with congenital and valvular heart disease requiring both left and right heart catheterization were enrolled and rates of vascular access complications including radial artery obstruction (RAO) were compared to 49 subjects in the control group who underwent catheterization only via radial artery access.
Results: No major vascular complications occurred in the study population. Post procedural radial artery obstruction was detected in 14 (28.5%) and 7 (14.2%) of the venous-radial artery group and the control group respectively (P = 0.09). Age, sex, body mass index, wrist circumference, hemoglobin concentrations and history of smoking, diabetes mellitus, hypertension and anti-coagulant use had no effect on rate of radial pulse perseverance. However, shorter radial compression device removal times were significantly related to lower rates of radial artery obstruction in both groups.
Conclusion: Right and left heart catheterization via an upper-extremity route in patients with congenital and valvular heart disease is safe and practical with greater patient comfort and no serious vascular complications. Longer duration of radial compression is an important predictor of RAO regardless of use of an additional upper-extremity venous access.
Keywords
catheterization, radial artery, brachial vein, congenital heart disease, valvular heart disease
About this articleTitle
Safety and feasibility of simultaneous left and right heart catheterization via single-arm arterial and venous access
Journal
Kardiologia Polska (Polish Heart Journal)
Issue
Article type
Original article
Published online
2022-03-24
Page views
54
Article views/downloads
27
DOI
10.33963/KP.a2022.0080
Pubmed
Keywords
catheterization
radial artery
brachial vein
congenital heart disease
valvular heart disease
Authors
Sedigheh Saedi
Mahsa Amirzargar
Milad Vahedinezhad
Behrooz Amirzargar
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