Cardiac catheterization through ipsilateral radial and ulnar artery access during the same procedure

Area of Science:

• Cardiovascular Interventions
• Vascular Access Techniques
• Medical Imaging

Background:

• Transradial artery catheterization is a common approach for cardiac procedures.
• Ensuring adequate vascular access while minimizing complications is crucial.
• Alternative ipsilateral access sites may offer benefits in specific scenarios.

Purpose of the Study:

• To evaluate the safety and feasibility of simultaneous ipsilateral radial and ulnar artery cannulation.
• To assess the complication rate of this combined approach.
• To compare outcomes with standard radial-to-femoral crossover procedures.

Main Methods:

• Prospective evaluation of patients undergoing cardiac catheterization.
• Simultaneous cannulation of ipsilateral radial and ulnar arteries.
• Assessment of procedural success and complications.
• Doppler ultrasonography to confirm vessel patency and rule out complications.

Main Results:

• The combined ipsilateral radial and ulnar artery catheterization was performed in 16 patients.
• No complications were observed in these patients.
• Crossover from radial to femoral access was performed in 122 patients, with outcomes not detailed here.
• Doppler ultrasonography supported the safety of the combined approach.

Conclusions:

• Ipsilateral radial and ulnar artery cannulation is a safe and feasible technique.
• This approach may be a viable alternative in certain cardiac catheterization procedures.
• Further research is warranted to explore its broader application and compare it to existing methods.