Right and left heart catheterization via an antecubital fossa vein and the radial artery--a prospective study

Right heart catheterization has been described via the arm but previous reports have been retrospective, performed for limited indications, and may not give an accurate assessment of the success rate or safety of this technique. We sought to prospectively examine the feasibility and safety of left a...

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Bibliographic Details
Published in:The Journal of invasive cardiology 2014-12, Vol.26 (12), p.669-673
Main Authors: Williams, Paul D, Palmer, Sonny, Judkins, Chris, Gutman, Jack, Whitbourn, Rob, MacIsaac, Andrew, Xu, Bo, Burns, Andrew, Wilson, Andrew
Format: Article
Language:English
Subjects:
Aged
Angiography
Cardiac Catheterization - methods
Female
Forearm - blood supply
Heart Ventricles
Humans
Male
Methods
Middle Aged
Prospective Studies
Radial Artery
Veins
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Summary:Right heart catheterization has been described via the arm but previous reports have been retrospective, performed for limited indications, and may not give an accurate assessment of the success rate or safety of this technique. We sought to prospectively examine the feasibility and safety of left and right heart catheterization entirely via the arm using the radial artery and an antecubital fossa vein for a broad range of indications. Fifty-eight consecutive procedures were included. Transradial arterial access was successful in 57 patients (98%), right heart catheterization via the antecubital fossa vein was successful in 54 patients (93%) and bilateral catheterization from the arm was achieved in 53 patients (91%). Standard diagnostic catheterization was the most frequent procedure (59%), although thermodilution (6.9%), percutaneous coronary intervention (33%), and coronary sinus sampling (16%) were also performed in selected cases. Compared to a historical cohort of patients undergoing right and left heart catheterization via femoral access, mean procedural time (38 vs 47 minutes; P=.03) and screening time (8.1 vs 11.2 minutes; P
ISSN:1557-2501