title: Transradial cardiac catheterization in patients with prior brachial artery cutdown.
abstract: The safety and efficacy of transradial cardiac catheterization in patients with prior ipsilateral brachial cutdown is not known. Using standard techniques we performed transradial catheterization in 278 consecutive patients, of which 63 had prior brachial cutdown. All patients had a strongly palpable radial pulse and a negative Allen's test. Although patients with prior cutdown were older and had a higher incidence of hypertension and prior coronary artery bypass surgery, there was no significant difference in success rates for transradial catheterization (93.6% vs. 95.3%; P = NS). There were no periprocedural complications. Brachial artery occlusion was responsible for only two unsuccessful catheterization attempts. We conclude that, with careful preprocedural screening, ipsilateral transradial cardiac catheterization can be successfully performed in a majority of patients with prior brachial cutdown.
authors.affiliation: Division of Cardiology, St Joseph's Hospital, Syracuse, New York, USA.
authors.forename: R P
authors.initials: RP
authors.lastname: Caputo
authors.forename: A
authors.initials: A
authors.lastname: Simons
authors.forename: A
authors.initials: A
authors.lastname: Giambartolomei
authors.forename: W
authors.initials: W
authors.lastname: Grant
authors.forename: K
authors.initials: K
authors.lastname: Fedele
authors.forename: P
authors.initials: P
authors.lastname: Esente
mesh_terms: D001916:Brachial Artery; D006328:Cardiac Catheterization / Q000379:methods*; D005260:Female; D006331:Heart Diseases / Q000175:diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D017534:Radial Artery; D012189:Retrospective Studies; D012449:Safety; D014656:Vascular Surgical Procedures