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Revista chilena de cardiología

On-line version ISSN 0718-8560


MENDEZ, Manuel et al. The ulnar approach as an alternative to the radial access for coronary angiography and coronary interventions: A pilot study on 29 patients. Rev Chil Cardiol [online]. 2011, vol.30, n.1, pp.16-19. ISSN 0718-8560.

Aim: to evaluate the safety and feasibility of the ulnar percutaneous approach for cardiac catheterization as an alternative to the radial access in every day practice. Patients and Methods: a retrospective evaluation was performed in 29 patients undergoing a coronary angiography or intervention using the ulnar approach after a failed radial attempt, between January 2009 and August 2010. A 6 French sheath was used in all patients. Clinical and procedure related events were evaluated at discharge, at 30 days and in the month of August 2010. Results: the 29 patients constituted 1.5% of the total number of procedures performed in the corresponding time interval. 12 of the 29 were PTCAs, 6 of them in the setting of acute myocardial infarction. Diabetes was present in 17.2%, hypertension in 51.7% and 51.7% were women. The procedures ended without events in every patient. No vascular or hemorrhagic complications were observed during follow up. Conclusion: the ulnar approach can be safely used as an alternative to radial access for coronary angiography and intervention

Keywords : ulnar vascular access; coronary artery interventions.

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