Article (Scientific journals)
Une nouvelle voie d’abord en cardiologie interventionnelle coronaire : l’abord radial distal
Danthine, Pauline; Marechal, Patrick; Lancellotti, Patrizio
2022In Revue Médicale de Liège, 77 (12), p. 696-700
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Keywords :
Complications; Radial approach; Coronary angiography.
Abstract :
[en] The conventional radial approach has become the access route of choice for performing diagnostic or therapeutic coronary angiography. It has taken precedence over the femoral approach, which is subject to a higher rate of vascular and hemorrhagic complications. The distal radial approach is currently considered a further refinement of the conventional radial approach. It offers the advantage of potentially reducing local vascular complications (spasm, thrombosis of the radial artery), of allowing rapid mobilization of the wrist (hemostatic band against the scaphoid), of reducing the duration of hemostasis, and of preserving the proximal radial artery for future procedures such as arteriovenous bypasses or shunts. The use of the left distal radial access also makes it possible to avoid the restriction of the movements of the right hand after the catheterization, to improve the comfort of the operator during the procedure and to reduce exposure to radiations, as well as to offer the possibility of performing angiography in patients who have already undergone bypass surgery with the left internal mammary artery graft (LIMA).
Disciplines :
Cardiovascular & respiratory systems
Author, co-author :
Danthine, Pauline ;  Centre Hospitalier Universitaire de Liège - CHU > > Service de cardiologie
Marechal, Patrick ;  Centre Hospitalier Universitaire de Liège - CHU > > Service de cardiologie
Lancellotti, Patrizio  ;  Centre Hospitalier Universitaire de Liège - CHU > > Service de cardiologie
Language :
French
Title :
Une nouvelle voie d’abord en cardiologie interventionnelle coronaire : l’abord radial distal
Publication date :
2022
Journal title :
Revue Médicale de Liège
ISSN :
0370-629X
eISSN :
2566-1566
Publisher :
Université de Liège. Revue Médicale de Liège, Liège, Belgium
Volume :
77
Issue :
12
Pages :
696-700
Peer reviewed :
Editorial Reviewed verified by ORBi
Available on ORBi :
since 16 April 2023

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