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The Public Relations of the Iranian Society of Atherosclerosis announces

A Follow up study of percutaneous transulnar artery procedure for coronary angiography and angioplasty: a case series research

A Follow up study of percutaneous transulnar artery procedure for coronary angiography and angioplasty: a case series research
Farshad Roghani Dehkordi 1, Omid Hashemifard2, Rohollah Mansouri2, Mahmoud Hadizadeh2
1. Associate Professor of Interventional Cardiology, Isfahan University of Medical Sciences, Isfahan, Iran.
2. Interventional Cardiologist, Isfahan University of Medical Sciences, Isfahan, Iran.
Abstract
Background and Objective: Coronary angiography is the routine method for diagnosis of coronary heart disease (CHD) and usually conducted by femoral route that is associated with several complications. To reduce these complications, upper extremity approach is increasingly suggested and has been proposed as the preferred access point by many interventional cardiologists. Although radial approach is relatively well studied, safety, feasibility and risk of applying ulnar approach in not clearly known yet. In this article, we report the data of at least 9 months follow up of 615 patients that had undergone this procedure.
Materials and Methods: We followed 615 patients (men=47.3%, mean ± SD of age=58±20 and women=42.7%, mean ± SD of age=57±18) who had undergone coronary angiography or angioplasty during the years 2011-2015 via ulnar approach for 9 to 11 months and recorded their outcomes.
Results: In 578 patients out of 615 ones (73.3%), the procedure through ulnar route was successfully performed (with a success rate of 94.1%). The evaluated patients had acute coronary syndrome (63 cases; 10.2%), acute myocardial infarction (18 cases; 2.9%) and graft angiography (24 cases; 3.9%). The major complications included death (0%), heart attack (0%) and stroke (1 case), needing vascular surgery (0%), amputation requirement (0%), and hematoma grade 4 (1 case), consistent paresis of ulnar nerve (0%), asymptomatic occlusion of ulnar artery (16 cases), and severe pain and hematoma grades 1-3 (32 cases).
Conclusion: This clinical study clearly suggests that transulnar access is a safe and reliable approach with low complications to be used for coronary angiography or angioplasty.
Keywords: Ulnar approach, Transulnar, Coronary angiography

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10:49 - 15/09/2016    /    Number : 421    /    Show Count : 495



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راه اندازی، طراحی، اجرا ، ورود محتوا و بروزرسانی: توسعه اطلاعات سحرگاه (متين تايم) بهار 1395     Powered by: MatinTime (Development of Information) 2016