Faculty Collaboration Database

Efficacy and safety of transulnar coronary angiography and interventions--a single center experience. Catheter Cardiovasc Interv 2014 Jan 01;83(1):E26-31

Date

05/16/2013

Pubmed ID

23674395

DOI

10.1002/ccd.24989

Scopus ID

2-s2.0-84890558026 (requires institutional sign-in at Scopus site)   8 Citations

Abstract

OBJECTIVES: To evaluate the efficacy and long-term safety of transulnar approach in complex coronary interventions.

BACKGROUND: The success rate of transulnar approach in complex coronary interventions and its long-term safety remains to be proven.

METHODS: We conducted a retrospective chart review of patients undergoing transulnar coronary angiography and interventions at our institution from January 2004 through July 2009. Primary endpoint of the study was the success rate of the procedure. Secondary endpoints were major bleeding, local vascular and neurological complications, cerebrovascular accident (CVA)/transient ischemic attack (TIA), myocardial infarction (MI), all-cause mortality, and major adverse cardiovascular events (MACE) rate that was a composite of MI, CVA/TIA, and all-cause mortality.

RESULTS: Of 81 patients undergoing transulnar approach, 41 (50.6%) patients underwent intervention on 65 lesions. Twelve percent of the interventions were performed on coronary bypass grafts and 9.2% on the left main coronary artery. Success rates for transulnar access, coronary angiography, and coronary/bypass graft interventions were 93.8%, 100%, and 92.6%, respectively. Follow-up data was available on 71 patients at short term (30 days) and 58 patients at long term (1 year). At 30-day follow-up, vascular complication rate was 2.8 %. At 1-year follow-up, there were no residual deficits from vascular or neurological complications associated with the index procedure and the overall MACE rate was 3.4%.

CONCLUSION: In this first study evaluating long-term safety and feasibility of transulnar coronary angiography and complex coronary interventions, we conclude that transulnar approach appears to be safe and effective.

Author List

Deshmukh AR, Kaushik M, Aboeata A, Abuzetun J, Burns TL, Nubel CA, White MD, Lanspa TJ, Hunter CB, Mooss AN, Esterbrooks DJ

MESH terms used to index this publication - Major topics in bold

Aged
Cardiac Catheterization
Cardiovascular Diseases
Coronary Angiography
Feasibility Studies
Female
Hemorrhage
Humans
Male
Nebraska
Nervous System Diseases
Percutaneous Coronary Intervention
Retrospective Studies
Risk Factors
Time Factors
Treatment Outcome
Ulnar Artery