Comments on: Catheterization in wrist http://www.cardiologytalks.com/catheterization-in-wrist Fri, 30 Jul 2010 12:25:20 +0000 hourly 1 http://wordpress.org/?v=3.0 By: admin http://www.cardiologytalks.com/catheterization-in-wrist/comment-page-1#comment-1046 admin Wed, 28 Oct 2009 16:44:53 +0000 http://www.cardiologytalks.com/catheterization-in-wrist#comment-1046 <p>These are now being tried at Victoria Hospital in London, Ontario, <br /> apparently with excellent results thus far. <br /> </p> These are now being tried at Victoria Hospital in London, Ontario,
apparently with excellent results thus far.

]]> By: admin http://www.cardiologytalks.com/catheterization-in-wrist/comment-page-1#comment-1045 admin Wed, 28 Oct 2009 16:44:51 +0000 http://www.cardiologytalks.com/catheterization-in-wrist#comment-1045 <p>psy...@ivory.trentu.ca writes: <br /> >Has anyone information about catheterizations being done from the wrist <br /> >rather than the "traditional" groin?  I just heard that it's being done in <br /> >Toronto but that appaently it is a procedure not widely known or accepted. <br /> >Doris <br /> <br />---------------------- <br /> There is a report in the Am.J.Cardiol. (1995) 76:164-7 of 100 cases, including <br /> both angiography and angioplasty, with 96% success rate & few complications. <br /> This was from Hadassah Univ. Hospital, Jerusalem, Israel.  They thought it was <br /> practicable and safe, although tortuosity of the radial artery in elderly people <br /> posed some problems advancing the wire. <br /> </p><p>David Rollo <br /> </p> psy…@ivory.trentu.ca writes:
>Has anyone information about catheterizations being done from the wrist
>rather than the "traditional" groin?  I just heard that it’s being done in
>Toronto but that appaently it is a procedure not widely known or accepted.
>Doris

———————-
There is a report in the Am.J.Cardiol. (1995) 76:164-7 of 100 cases, including
both angiography and angioplasty, with 96% success rate & few complications.
This was from Hadassah Univ. Hospital, Jerusalem, Israel.  They thought it was
practicable and safe, although tortuosity of the radial artery in elderly people
posed some problems advancing the wire.

David Rollo

]]> By: admin http://www.cardiologytalks.com/catheterization-in-wrist/comment-page-1#comment-1044 admin Wed, 28 Oct 2009 16:44:48 +0000 http://www.cardiologytalks.com/catheterization-in-wrist#comment-1044 <p>Doris - <br /> </p><p>Let me update my earlier post.  I was referring to PTCA via the radial <br /> artery.  I recently read an article in the June 1996 issue of "Cath-Lab <br /> Digest" by Mann, Arrowood, and Cubeddu entitled "PTCA Using the Right <br /> Radial Atery Access Site".  the group was from Wake Heart Center, in <br /> Raleigh ,NC. <br /> </p><p>Pam <br /> </p> Doris –

Let me update my earlier post.  I was referring to PTCA via the radial
artery.  I recently read an article in the June 1996 issue of "Cath-Lab
Digest" by Mann, Arrowood, and Cubeddu entitled "PTCA Using the Right
Radial Atery Access Site".  the group was from Wake Heart Center, in
Raleigh ,NC.

Pam

]]> By: admin http://www.cardiologytalks.com/catheterization-in-wrist/comment-page-1#comment-1043 admin Wed, 28 Oct 2009 16:44:46 +0000 http://www.cardiologytalks.com/catheterization-in-wrist#comment-1043 <p>Yes, I have heard about catheterization via the radial artery. It has been <br /> performed at a number of centers, one in particular that I'm aware of , is <br /> William Beaumont Hospital in Royal Oaks, Michigan.  Dr. O'Neill spoke on <br /> the topic at a cardiovascular seminar that I attended in October 1994. <br /> There was also a presentation on it, including the results, success rates, <br /> etc. at the November '94 American Heart Association Meetin. What I do <br /> remember , a smaller Fr size catheter could be used, the patients could <br /> "walk" back to their rooms, they were obviously up and about earlier, and <br /> I don't believe the compllication rates were any higher than normal. <br /> Accessing the radial artery required a bit of a learning curve as compared <br /> to the femoral for the procedure, however it didn't require a radical <br /> change in technique.  the femoral artery was still the preferred site for <br /> emergent procedures.  I recently saw an article discussing it .  Should I <br /> come across it , I will let you know via e-mail. <br /> </p> Yes, I have heard about catheterization via the radial artery. It has been
performed at a number of centers, one in particular that I’m aware of , is
William Beaumont Hospital in Royal Oaks, Michigan.  Dr. O’Neill spoke on
the topic at a cardiovascular seminar that I attended in October 1994.
There was also a presentation on it, including the results, success rates,
etc. at the November ’94 American Heart Association Meetin. What I do
remember , a smaller Fr size catheter could be used, the patients could
"walk" back to their rooms, they were obviously up and about earlier, and
I don’t believe the compllication rates were any higher than normal.
Accessing the radial artery required a bit of a learning curve as compared
to the femoral for the procedure, however it didn’t require a radical
change in technique.  the femoral artery was still the preferred site for
emergent procedures.  I recently saw an article discussing it .  Should I
come across it , I will let you know via e-mail.

]]> By: admin http://www.cardiologytalks.com/catheterization-in-wrist/comment-page-1#comment-1042 admin Wed, 28 Oct 2009 16:44:43 +0000 http://www.cardiologytalks.com/catheterization-in-wrist#comment-1042 <p>On Fri, 5 Jul 1996 01:22:05 GMT, psy...@ivory.trentu.ca wrote: <br /> >Has anyone information about catheterizations being done from the wrist <br /> >rather than the "traditional" groin?  I just heard that it's being done in <br /> >Toronto but that appaently it is a procedure not widely known or accepted. <br /> <br />It's being done in places in the U.S. also.  You're right in that it's <br /> not widely accepted, however.  The bleeding complication rate (the <br /> most common problem with catheterization) is reportedly much lower <br /> with radial artery caths, but I have seen no data on the vascular <br /> complication rate (which I would expect to be much higher, considering <br /> the very small size of the radial artery when compared to the femoral <br /> artery, or even the brachial artery). <br /> </p><p>_________________________________________________________________________ <br /> </p><p> Chris Klugewicz                                   <br />  Fellow, Div. of Cardiology <br />  University of Maryland                           email: c...@chesbay.com <br /> _________________________________________________________________________ <br /> </p> On Fri, 5 Jul 1996 01:22:05 GMT, psy…@ivory.trentu.ca wrote:
>Has anyone information about catheterizations being done from the wrist
>rather than the "traditional" groin?  I just heard that it’s being done in
>Toronto but that appaently it is a procedure not widely known or accepted.

It’s being done in places in the U.S. also.  You’re right in that it’s
not widely accepted, however.  The bleeding complication rate (the
most common problem with catheterization) is reportedly much lower
with radial artery caths, but I have seen no data on the vascular
complication rate (which I would expect to be much higher, considering
the very small size of the radial artery when compared to the femoral
artery, or even the brachial artery).

_________________________________________________________________________

 Chris Klugewicz                                  
 Fellow, Div. of Cardiology
 University of Maryland                           email: c…@chesbay.com
_________________________________________________________________________

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