The safety and feasibility of peripheral vascular intervention via the ipsilateral transulnar access due to failure of transradial artery puncture
10.3969/j.issn.1008-794X.2024.07.005
- VernacularTitle:桡动脉穿刺失败后经同侧尺动脉途径行外周血管介入的安全性与可行性
- Author:
Weilin TIAN
1
;
Xiaoxi MENG
;
Huaqiang LIAO
;
Hongchao LIU
;
Yafeng GU
;
Liyu HUANG
;
Weihua DONG
;
Hailin JIANG
Author Information
1. 200003 上海 海军军医大学第二附属医院放射诊断科
- Keywords:
transradial access;
transulnar access;
peripheral vascular intervention
- From:
Journal of Interventional Radiology
2024;33(7):723-727
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the safety and feasibility of peripheral vascular intervention via the ipsilateral transulnar access(TUA)due to failure of transradial access(TRA)puncture.Methods The clinical data of 2546 peripheral vascular interventions via TRA,which were performed at authors'hospital between January 2019 and December 2021,were retrospectively analyzed.Among the 2546 interventions,TRA puncture failed in 37 procedures,and in 27 of these patients the ipsilateral TUA puncture had to be adopted.The puncture success rate,surgical success rate and puncture approach-related complications of TUA of the 27 patients receiving ipsilateral TUA puncture were analyzed.Results The success rate of ipsilateral TUA puncture after TRA puncture failed was 96.3％(26/27),and in one patient transfemoral access(TFA)puncture had to be substituted because of the ulnar artery spasm.The total success rate of interventional procedures was 96.3％(26/27).No serious complications occurred,and the incidence of minor complications was 19.2％(5/26).Conclusion Preliminary results indicate that for the experienced TRA operators,using ipsilateral TUA puncture due to failure of TRA puncture is a safe and feasible strategy choice.
