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Transulnar approach: the rationale from the radialist's view.
Pedro Beraldo de Andrade1, Marden André Tebet, Mônica Vieira Athanazio de Andrade
1Santa Casa de Marília, Marília, SP, Brazil. pedroberaldo@gmail.com
Indian Heart Journal
|February 1, 2011
Summary
Ulnar artery access is a safe and effective alternative for coronary procedures when radial access fails. This approach minimizes vascular complications and offers a similar safety profile, especially regarding bleeding.
Area of Science:
- Cardiology
- Vascular Access Techniques
Background:
- Radial access offers patient comfort and reduced costs, with fewer vascular complications.
- Ulnar access is a viable alternative when radial artery access is not feasible.
Purpose of the Study:
- To assess the safety and effectiveness of using the ulnar artery for coronary procedures.
- Evaluate ulnar access outcomes following unsuccessful radial artery attempts.
Main Methods:
- Prospective registry of 115 patients undergoing 122 coronary procedures via ulnar access.
- Data collected from May 2007 to February 2009.
Main Results:
- Successful coronary procedures in 95% of cases.
- No major bleeding, transfusions, or vascular repair surgeries.
- Minor complications included hematomas (4.9%), spasms (4%), and asymptomatic ulnar artery occlusion (1.6%) without ischemia.
Conclusions:
- Ulnar artery access is a feasible and effective option for coronary interventions.
- It provides a comparable safety profile to radial access, particularly concerning hemorrhagic complications.
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