Right Heart Catheterization: An Antecubital Vein Approach to Reduce Fluoroscopy Time, Radiation Dose, and Guidewires Need.
antecubital access
fluoroscopy time
guidewires
radiation exposure
right heart catheterization
vascular access
vascular complications
Journal
Journal of clinical medicine
ISSN: 2077-0383
Titre abrégé: J Clin Med
Pays: Switzerland
ID NLM: 101606588
Informations de publication
Date de publication:
18 Aug 2023
18 Aug 2023
Historique:
received:
11
07
2023
revised:
05
08
2023
accepted:
16
08
2023
medline:
26
8
2023
pubmed:
26
8
2023
entrez:
26
8
2023
Statut:
epublish
Résumé
Antecubital access for right heart catheterization (RHC) is a widespread technique, even though there is a need to clarify if there are differences and significant advantages compared to proximal vein access. To pursue this issue, we retrospectively identified patients who underwent RHC in our clinic over a 7 year period (between January 2015 and December 2022). We revised demographic, anthropometric, and procedural data, including the fluoroscopy time, the radiation exposure, and the use of guidewires. The presence of any complications was also assessed. In patients with antecubital access, the fluoroscopy time and the radiation exposure were lower compared to proximal vein access (6 vs. 3 min, mean difference of 2 min, CI 95% 1-4 min,
Identifiants
pubmed: 37629423
pii: jcm12165382
doi: 10.3390/jcm12165382
pmc: PMC10456014
pii:
doi:
Types de publication
Journal Article
Langues
eng
Subventions
Organisme : Bank of Italy
ID : 2023
Références
Hepatology. 2010 Jun;51(6):2108-16
pubmed: 20512998
Heart Fail Clin. 2018 Jul;14(3):467-477
pubmed: 29966642
Ann Thorac Surg. 1990 Mar;49(3):497-9
pubmed: 2178572
JACC Cardiovasc Interv. 2015 Aug 17;8(9):1189-1196
pubmed: 26210808
Catheter Cardiovasc Interv. 2014 Jul 1;84(1):70-4
pubmed: 24130120
Clin Cardiol. 2010 May;33(5):303-6
pubmed: 20513069
J Am Coll Cardiol. 2008 Jan 22;51(3):315-9
pubmed: 18206742
Eur Respir J. 2019 Jan 24;53(1):
pubmed: 30545974
Cardiol Rev. 2020 Jan/Feb;28(1):36-41
pubmed: 31804291
Catheter Cardiovasc Interv. 2002 Jan;55(1):20-2
pubmed: 11793490
Eur Heart J. 2022 Oct 11;43(38):3618-3731
pubmed: 36017548
Can J Cardiol. 2015 Dec;31(12):1497.e1-6
pubmed: 26277087
Arch Cardiovasc Dis. 2017 Mar;110(3):179-187
pubmed: 28117244
Am J Cardiol. 1997 Mar 1;79(5):651-60
pubmed: 9068526
Heart. 2016 Jan;102(2):147-57
pubmed: 26701966
Lancet. 2015 Nov 28;386(10009):2192-203
pubmed: 26411986
Nat Rev Gastroenterol Hepatol. 2009 Oct;6(10):573-82
pubmed: 19724251