Radial Catheterization Advantages: Difference between revisions
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==Advantages of the Radial Approach to Cardiac Catheterization== | ==Advantages of the Radial Approach to Cardiac Catheterization== | ||
# Reduced bleeding | # Reduced bleeding | ||
# Early patient ambulation | # Early patient ambulation<ref name="pmid18770958">{{cite journal| author=Suleiman K, Feldman A, Ilan-Bushari L, Turgeman Y| title=[Transradial diagnostic and interventional cardiac catheterization in daily practice: advantages, efficacy and safety]. | journal=Harefuah | year= 2008 | volume= 147 | issue= 5 | pages= 388-93, 479 | pmid=18770958 | doi= | pmc= | url= }} </ref> | ||
# Greater patient satisfaction | # Greater patient satisfaction | ||
# Absence of retroperitoneal hematomas, femoral pseudo aneurysms, | # Absence of retroperitoneal hematomas, femoral pseudo aneurysms, [[arteriovenous fistula]]s | ||
# Reduced length of stay | # Reduced length of stay<ref name="pmid18770958">{{cite journal| author=Suleiman K, Feldman A, Ilan-Bushari L, Turgeman Y| title=[Transradial diagnostic and interventional cardiac catheterization in daily practice: advantages, efficacy and safety]. | journal=Harefuah | year= 2008 | volume= 147 | issue= 5 | pages= 388-93, 479 | pmid=18770958 | doi= | pmc= | url= }} </ref> | ||
# Improved access in the obese patient | # Improved access in the obese patient | ||
# Dual blood supply which limits the potential for limb threatening [[ischemia]] | |||
# Advantageous for patients with severe occlusive aortoiliac disease | |||
# Advantageous for patients with back pain, [[obesity]], [[congestive heart failure]] who have difficulty laying flat on back. | |||
# Less likelihood of local nerve injury | |||
# Radial artery is easily compressible | |||
In a meta-analysis of publications from 1980 to 2008, [[radial artery catheterization]] was associated with a 73% relative risk reduction in the risk of major bleeding (2.3% vs 0.05%, p<0.001) compared to femoral access. | In a meta-analysis of publications from 1980 to 2008, [[radial artery catheterization]] was associated with a 73% relative risk reduction in the risk of major bleeding (2.3% vs 0.05%, p<0.001) compared to femoral access. | ||
Revision as of 16:51, 16 June 2011
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Advantages of the Radial Approach to Cardiac Catheterization
- Reduced bleeding
- Early patient ambulation[1]
- Greater patient satisfaction
- Absence of retroperitoneal hematomas, femoral pseudo aneurysms, arteriovenous fistulas
- Reduced length of stay[1]
- Improved access in the obese patient
- Dual blood supply which limits the potential for limb threatening ischemia
- Advantageous for patients with severe occlusive aortoiliac disease
- Advantageous for patients with back pain, obesity, congestive heart failure who have difficulty laying flat on back.
- Less likelihood of local nerve injury
- Radial artery is easily compressible
In a meta-analysis of publications from 1980 to 2008, radial artery catheterization was associated with a 73% relative risk reduction in the risk of major bleeding (2.3% vs 0.05%, p<0.001) compared to femoral access. While the risk of the composite endpoint of death, myocardial infarction (MI) and stroke tended to be less frequent among patients undergoing radial artery catheterization (3.8% vs 2.5%, p = .058), there was no difference in mortality alone. Radial artery access also was associated with a 0.4% reduction in length of stay (p=0.001).[2]
References
- ↑ 1.0 1.1 Suleiman K, Feldman A, Ilan-Bushari L, Turgeman Y (2008). "[Transradial diagnostic and interventional cardiac catheterization in daily practice: advantages, efficacy and safety]". Harefuah. 147 (5): 388–93, 479. PMID 18770958.
- ↑ Jolly SS, Amlani S, Hamon M, Yusuf S, Mehta SR (2009). "Radial versus femoral access for coronary angiography or intervention and the impact on major bleeding and ischemic events: a systematic review and meta-analysis of randomized trials". American Heart Journal. 157 (1): 132–40. doi:10.1016/j.ahj.2008.08.023. PMID 19081409. Retrieved 2010-02-23. Unknown parameter
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