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Compared to femoral venous access, upper extremity right heart catheterization reduces time to ambulation: A single center experience
Author(s) -
Speiser Bernadette,
Pearson Katrina,
Xie Hui,
Shroff Adhir R.,
Vidovich Mladen I.
Publication year - 2017
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/ccd.26573
Subject(s) - medicine , fluoroscopy , femoral vein , cardiac catheterization , conventional pci , femoral artery , surgery , single center , cardiology , myocardial infarction
Objectives To determine ambulation times after right heart catheterization (RHC) via upper extremity access compared to femoral venous access. Background Transradial coronary angiography has been associated with shorter times to ambulation. We hypothesized that RHC from the upper extremity would be similarly associated with shorter ambulation times when compared to traditional femoral access. Methods We performed a single‐center retrospective analysis of 379 consecutive patients who underwent a variety of diagnostic and interventional left‐ and right‐heart procedures through upper extremity and femoral access sites. Results The time to ambulation for RHC through the arm veins versus the femoral vein was lower (42.6 min ± 14.2 vs. 175.0 min ± 65.0, P < 0.001). Fluoroscopy times (8.5 min ± 6.8 vs. 12.8 min ± 8.4, P < 0.001) and radiation doses (64.1 Gy cm −2 ± 60.0 vs. 108.5 Gy cm −2 ± 71.6, P < 0.001) were reduced in the radial compared to femoral group, respectively. In multivariate analyses, upper arm access ( P < 0.0001), lower heparin dose ( P = 0.032), inpatient status ( P = 0.01), and concurrent PCI ( P = 0.03) were associated with shorter times to ambulation. Conclusions Right heart catheterization from the upper extremity is strongly associated with shorter times to ambulation. © 2016 Wiley Periodicals, Inc.