Related Experiment Video

Updated: Sep 29, 2025

Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device
07:41

Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device

Published on: July 20, 2022

2.0K

Safety and feasibility of simultaneous left and right heart catheterization via single-arm arterial and venous access

Sedigheh Saedi1, Mahsa Amirzargar2, Milad Vahedinezhad2

  • 1Rajaei Cardiovascular Medical and Research Center, Iran University of Medical Sciences, Tehran, Iran. sedsaedi@gmail.com.

Kardiologia Polska
|March 25, 2022
PubMed

Insights

Simultaneous left and right heart catheterization using upper extremity access is safe for patients with congenital and valvular heart disease. Shorter compression times after the procedure reduce radial artery obstruction risks.

Area of Science:

  • Cardiology
  • Vascular Access Procedures
  • Congenital and Valvular Heart Disease

Background:

  • Radial artery catheterization is standard for coronary angiography.
  • Simultaneous coronary and right heart catheterization typically uses different access sites.
  • Upper extremity access for combined procedures is less common.

Purpose of the Study:

  • To evaluate the safety and complication rates of combined left and right heart catheterization via radial artery and antecubital vein.
  • To compare vascular access complications between combined upper extremity access and radial artery-only access.

Main Methods:

  • Prospective cohort study of 49 patients undergoing combined venous-radial artery catheterization.
  • Comparison group of 49 patients with radial artery-only catheterization.
  • Assessment of vascular access complications, including radial artery obstruction (RAO).

Main Results:

  • No major vascular complications were observed in either group.
  • Radial artery obstruction occurred in 28.5% of the combined access group versus 14.2% in the control group (P=0.09).
  • Shorter radial compression device removal times correlated with lower RAO rates.

Conclusions:

  • Combined upper extremity access for left and right heart catheterization is safe and practical for patients with congenital and valvular heart disease.
  • This approach offers improved patient comfort without serious vascular complications.
  • Prolonged radial compression is a key predictor of radial artery obstruction, irrespective of additional venous access.
Abstract

Keywords:
brachial veincatheterizationcongenital heart diseaseradial arteryvalvular heart disease

More Related Videos

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock07:39

Use of a Percutaneous Ventricular Assist Device/Left Atrium to Femoral Artery Bypass System for Cardiogenic Shock

Published on: August 16, 2021

3.8K
Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation06:02

Upper-extremity Approach for Secondary Access in Transfemoral Transcatheter Aortic Valve Implantation

Published on: August 8, 2025

208

Related Concept Videos

Cardiac Catheterization II: Right Heart Catheterization01:21

Cardiac Catheterization II: Right Heart Catheterization

Right Heart Catheterization: An OverviewRight heart catheterization is an invasive diagnostic procedure that measures right-sided cardiac and pulmonary artery pressures, calculates cardiac output, and identifies intracardiac shunts. It provides detailed hemodynamic data essential for diagnosing and managing various cardiovascular conditions, such as pulmonary hypertension.Access SitesCommon access sites for right heart catheterization include the internal jugular vein in the neck region, the...
210
Cardiac Catheterization III: Left Heart Catheterization01:24

Cardiac Catheterization III: Left Heart Catheterization

Left heart catheterization is an invasive diagnostic procedure used to evaluate the function and structure of the left side of the heart. It is generally performed to diagnose and treat cardiovascular conditions such as valve abnormalities, coronary artery disease, and congenital heart defects.Diagnostic and therapeutic purposesLeft heart catheterization serves various diagnostic and therapeutic purposes, including:Assessing coronary artery bypass grafts.Evaluating coronary artery disease in...
248
Cardiac Catheterization I: Pre-Procedure Overview01:28

Cardiac Catheterization I: Pre-Procedure Overview

Cardiac catheterization is an invasive diagnostic technique used to identify and evaluate structural and functional diseases of the heart and major blood vessels. This technique diagnoses congenital heart disease, coronary artery disease, valvular heart disease, and coronary spasms and assesses ventricular function. It helps guide treatment decisions, including the need for revascularization procedures like percutaneous coronary intervention (PCI) or coronary artery bypass grafting (CABG) and...
219
Cardiac Catheterization IV: Nursing Management01:26

Cardiac Catheterization IV: Nursing Management

Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
231