The Feasibility of Bypass Graft Angiography by Right Radial Access
Korean Circulation Journal
;
: 304-309, 2009.
Artículo
en Inglés
| WPRIM
| ID: wpr-185998
ABSTRACT
BACKGROUND AND OBJECTIVES:
Left transradial coronary angiography may result in damage of both radial arteries in patients who experienced right radial access. In some patients, the left radial artery has been used as a graft. We investigated whether graft angiography using right radial access is feasible in patients with bypass surgery to preserve the left radial artery as a future graft. SUBJECTS ANDMETHODS:
A total of 109 consecutive patients with bypass surgery who had undergone right radial access underwent graft angiography via the same access.RESULTS:
Sixteen (15%) patients were excluded because of the presence of a severely tortuous right subclavian artery. Bypass graft angiography via right radial or brachial access was completed successfully in 90 (97%) out of 93 patients. In 3 (3%) of patients, femoral access was needed to complete the angiography. Saphenous vein grafts were cannulated selectively in 150 (90%) of 167 grafts with satisfactory image quality and not found even on the aortogram in the other 17 (10%) grafts. Ninety-two (89%) out of 103 left mammary grafts were cannulated selectively or semi-selectively using a modified Simmons catheter, resulting in satisfactory image quality. The other 11 (11%) grafts were visualized non-selectively using a Judkins Left catheter, and resulting in acceptable image quality in 10 (91%) grafts. There were no procedure-related complications.CONCLUSION:
Graft angiography via right radial access can be performed reliably in most patients that lack severe subclavian tortuosity.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Vena Safena
/
Arteria Subclavia
/
Angiografía
/
Puente de Arteria Coronaria
/
Angiografía Coronaria
/
Arteria Radial
/
Trasplantes
/
Catéteres
/
Arterias Mamarias
Límite:
Humanos
Idioma:
Inglés
Revista:
Korean Circulation Journal
Año:
2009
Tipo del documento:
Artículo
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