TRANSULNAR TECHNIQUE AMONG PATIENTS UNDERGONE PERCUTANEOUS CORONARY INTERVENTIONS: A STUDY ON ASSOCIATED COMPLICATIONS

T NAWAZ; S HUSSAIN; M AMIN; H ALI; W SAJJAD

doi:10.54112/bcsrj.v2024i1.694

Authors

T NAWAZ Department of Cardiology, Lady Reading Hospital Peshawar, Pakistan
S HUSSAIN Department of Cardiology, Lady Reading Hospital Peshawar, Pakistan
M AMIN Department of Cardiology, Lady Reading Hospital Peshawar, Pakistan
H ALI Department of Cardiology, Lady Reading Hospital Peshawar, Pakistan
W SAJJAD Department of Cardiology, Lady Reading Hospital Peshawar, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2024i1.694

Keywords:

Percutaneous Coronary Interventions, Transulnar technique, Complications, Ischemic heart disease

Abstract

The objective of this observational study, conducted at the Department of Cardiology in LRH, Peshawar from June 2023 to December 2023, was to assess the complications associated with the transulnar technique in patients undergoing percutaneous coronary interventions (PCI) for ischemic heart disease. A total of 110 patients were included in this study. All patients underwent PCI with the transulnar technique, and complications were assessed post-procedure. The mean age of the patients was 58.75±7.05. The complications observed were minor bleeding in 20 patients (18.2%), ulnar artery occlusion in 9 patients (8.2%), hematoma in 6 patients (5.5%), and stroke in 2 patients (1.8%). The transulnar technique is an effective modality for patients undergoing PCI in terms of complications such as minor bleeding, ulnar artery occlusion, hematoma, and stroke.

Downloads

Download data is not yet available.

References

Andrade, P. B. d., Tebet, M. A., Andrade, M. V. A. d., and Labrunie, A. (2008). Primary percutaneous coronary intervention through transulnar approach: safety and effectiveness. Arquivos Brasileiros de Cardiologia 91, e41-e44.

Bhatt, D. L. (2018). Percutaneous coronary intervention in 2018. Jama 319, 2127-2128.

Dainese, L., Annoni, A., and Spirito, R. (2013). Forearm large hematoma following transulnar artery cardiac catheterization. Journal of Vascular Surgery 58, 1400-1401.

Hahalis, G., Aznaouridis, K., Tsigkas, G., Davlouros, P., Xanthopoulou, I., Koutsogiannis, N., Koniari, I., Leopoulou, M., Costerousse, O., and Tousoulis, D. (2017). Radial Artery and Ulnar Artery Occlusions Following Coronary Procedures and the Impact of Anticoagulation: ARTEMIS (Radial and Ulnar ARTE ry Occlusion M eta‐Analys IS) Systematic Review and Meta‐Analysis. Journal of the American Heart Association 6, e005430.

Kar, S. (2017). Transulnar cardiac catheterization and percutaneous coronary intervention: techniques, transradial comparisons, anatomical considerations, and comprehensive literature review. Catheterization and Cardiovascular Interventions 90, 1126-1134.

Kar, S. (2019). Systematic review of alternative access for cardiac catheterization and percutaneous coronary intervention: dorsal distal radial and ulnar artery catheterization. Catheterization and Cardiovascular Interventions 94, 706-713.

Khan, S. Q., and Ludman, P. F. (2022). Percutaneous coronary intervention. Medicine 50, 437-444.

Meier, B., Bachmann, D., and Lüscher, T. F. (2003). 25 years of coronary angioplasty: almost a fairy tale. The Lancet 361, 527.

Movahed, M. R., Hashemzadeh, M., Jamal, M. M., and Ramaraj, R. (2010). Decreasing in-hospital mortality of patients undergoing percutaneous coronary intervention with persistent higher mortality rates in women and minorities in the United States. The Journal of invasive cardiology 22, 58-60.

Palmerini, T., Benedetto, U., Biondi-Zoccai, G., Della Riva, D., Bacchi-Reggiani, L., Smits, P. C., Vlachojannis, G. J., Jensen, L. O., Christiansen, E. H., and Berencsi, K. (2015). Long-term safety of drug-eluting and bare-metal stents: evidence from a comprehensive network meta-analysis. Journal of the American College of Cardiology 65, 2496-2507.

Pursnani, S., Korley, F., Gopaul, R., Kanade, P., Chandra, N., Shaw, R. E., and Bangalore, S. (2012). Percutaneous coronary intervention versus optimal medical therapy in stable coronary artery disease: a systematic review and meta-analysis of randomized clinical trials. Circulation: Cardiovascular Interventions 5, 476-490.

RAHMAN, G., MAHMOOD, H., FAWAD, A., ALI, Z., ALI, J., and JAN, R. Complications Associated with Transulnar Approach in Patients undergoing Percutaneous Coronary Interventions. Hypertension 63, 53.4.

Roy, S., Kabach, M., Patel, D. B., Guzman, L. A., and Jovin, I. S. (2022). Radial artery access complications: prevention, diagnosis and management. Cardiovascular Revascularization Medicine 40, 163-171.

Sallam, M., Al-Riyami, A., Misbah, M., Al-Sukaiti, R., Al-Alawi, A., and Al-Wahaibi, A. (2014). Procedural and clinical utility of transulnar approach for coronary procedures following failure of radial route: Single centre experience. Journal of the Saudi Heart Association 26, 138-144.

Sandoval, Y., Bell, M. R., and Gulati, R. (2019). Transradial artery access complications. Circulation: Cardiovascular Interventions 12, e007386.

Sattur, S., Singh, M., and Kaluski, E. (2017). Trans-ulnar catheterization and coronary interventions: From technique to outcomes. Cardiovascular Revascularization Medicine 18, 299-303.

Shafiq, M., Mahmoud, H. B., and Fanous, M. L. (2020). Percutaneous trans-ulnar versus trans-radial arterial approach for coronary angiography and angioplasty, a preliminary experience at an Egyptian cardiology center. The Egyptian Heart Journal 72, 1-7.

Vassilev, D., Smilkova, D., and Gil, R. (2008). Ulnar artery as access site for cardiac catheterization: anatomical considerations. Journal of interventional cardiology 21, 56-60.