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Transradial cardiac catheterization in patients with prior brachial artery cutdown
Author(s) -
Caputo Ronald P.,
Simons Alan,
Giambartolomei Alessandro,
Grant William,
Fedele Kathleen,
Esente Paolo
Publication year - 1999
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/(sici)1522-726x(199911)48:3<271::aid-ccd7>3.0.co;2-0
Subject(s) - medicine , brachial artery , cardiac catheterization , radial artery , surgery , cardiology , artery , blood pressure
The safety and efficacy of transradial cardiac catheterization in patients with prior ipsilateral brachial cutdown is not known. Using standard techniques we performed transradial catheterization in 278 consecutive patients, of which 63 had prior brachial cutdown. All patients had a strongly palpable radial pulse and a negative Allen's test. Although patients with prior cutdown were older and had a higher incidence of hypertension and prior coronary artery bypass surgery, there was no significant difference in success rates for transradial catheterization (93.6% vs. 95.3%; P = NS). There were no periprocedural complications. Brachial artery occlusion was responsible for only two unsuccessful catheterization attempts. We conclude that, with careful preprocedural screening, ipsilateral transradial cardiac catheterization can be successfully performed in a majority of patients with prior brachial cutdown. Cathet. Cardiovasc. Intervent. 48:271–274, 1999. © 1999 Wiley‐Liss, Inc.