The role of nurses / technicians in the Catheterization Laboratory during the peripheral interventions using transradial access

    Authors

    Keywords

    transradial access, role of nurse

    DOI

    https://doi.org/10.15836/ccar2016.557

    Full Text

    Usage of transradial approach for diagnostics and angioplasty of peripheral arteries in recent years is constantly growing. (1) The main limit to more significant application is the distance of the radial artery to the lower limb arteries. Arteries that are available for transradial access are: renal artery, superior mesenteric artery and the arteries of the pelvis while more distal arteries (e.g. a. femoralis superfitialis) according to the available materials are not. Advantages of the transradial approach in interventional cardiology in comparison to femoral are very well known. The usual position of patient in the Cath Lab for transradial peripheral intervention is with head forward. Most common used is left radial approach with if necessary femoral arteries in addition. The procedure starts with introducing diagnostic “pig tail” catheter. Before the angioplasty short introducer has to be replaced to a long one (commercially available introducer is 100 cm). In our Cat Lab from January 2011 to October 2016 for diagnostics and/or angioplasty of peripheral arteries 120 transradial procedures were performed. In 14 cases transradial approach was the only approach needed while in 36 cases femoral access was used as an additional to radial. All interventions were performed at the pelvic arteries. Nowadays the leading approach for catheterization of peripheral arteries is still femoral. According to rapid development of new materials that will enable interventions on more distal arteries the number of transradial dedicated Cath Lab’s for that purpose will rise.

    Literature

    1. Safley DM, Amin AP, House JA, Baklanov D, Mills R, Giersiefen H, et al. Comparison of costs between transradial and transfemoral percutaneous coronary intervention: a cohort analysis from the Premier research database. Am Heart J. 2013 Mar;165(3):303–9.e2. https://doi.org/10.1016/j.ahj.2012.10.004
    Cardiologia Croatica
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    The role of nurses / technicians in the Catheterization Laboratory during the peripheral interventions using transradial access

    Extended Abstract
    Issue10-11
    Published
    Pages557
    PDF via DOIhttps://doi.org/10.15836/ccar2016.557
    transradial access
    role of nurse

    Authors

    Jadranka Daskijević*University Hospital Centre “Sestre milosrdnice”, Zagreb, Croatia
    Lidija PosavecUniversity Hospital Centre “Sestre milosrdnice”, Zagreb, Croatia

    *Correspondence email: jadranka.daskijevic@kbcsm.hr

    Full Text

    Usage of transradial approach for diagnostics and angioplasty of peripheral arteries in recent years is constantly growing. (1) The main limit to more significant application is the distance of the radial artery to the lower limb arteries. Arteries that are available for transradial access are: renal artery, superior mesenteric artery and the arteries of the pelvis while more distal arteries (e.g. a. femoralis superfitialis) according to the available materials are not. Advantages of the transradial approach in interventional cardiology in comparison to femoral are very well known. The usual position of patient in the Cath Lab for transradial peripheral intervention is with head forward. Most common used is left radial approach with if necessary femoral arteries in addition. The procedure starts with introducing diagnostic “pig tail” catheter. Before the angioplasty short introducer has to be replaced to a long one (commercially available introducer is 100 cm).

    In our Cat Lab from January 2011 to October 2016 for diagnostics and/or angioplasty of peripheral arteries 120 transradial procedures were performed. In 14 cases transradial approach was the only approach needed while in 36 cases femoral access was used as an additional to radial. All interventions were performed at the pelvic arteries. Nowadays the leading approach for catheterization of peripheral arteries is still femoral. According to rapid development of new materials that will enable interventions on more distal arteries the number of transradial dedicated Cath Lab’s for that purpose will rise.

    Literature

    1. 1.
      Safley DM, Amin AP, House JA, Baklanov D, Mills R, Giersiefen H, et al. Comparison of costs between transradial and transfemoral percutaneous coronary intervention: a cohort analysis from the Premier research database. Am Heart J. 2013 Mar;165(3):303–9.e2.DOI