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Published online: 2022-03-24
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Safety and feasibility of simultaneous left and right heart catheterization via single-arm arterial and venous access

Sedigheh Saedi1, Mahsa Amirzargar2, Milad Vahedinezhad1, Behrooz Amirzargar3
DOI: 10.33963/KP.a2022.0080
·
Pubmed: 35334106
Affiliations
  1. Rajaei Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
  2. Rajaei Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran
  3. Tehran University of Medical Sciences, Tehran, Iran

open access

Online first
Original article
Published online: 2022-03-24

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.

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Keywords

catheterization, radial artery, brachial vein, congenital heart disease, valvular heart disease

About this article
Title

Safety and feasibility of simultaneous left and right heart catheterization via single-arm arterial and venous access

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Online first

Article type

Original article

Published online

2022-03-24

Page views

54

Article views/downloads

27

DOI

10.33963/KP.a2022.0080

Pubmed

35334106

Keywords

catheterization
radial artery
brachial vein
congenital heart disease
valvular heart disease

Authors

Sedigheh Saedi
Mahsa Amirzargar
Milad Vahedinezhad
Behrooz Amirzargar

References (15)
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