ArticleARYA atherosclerosis2018
Transulnar versus transradial approach for coronary angiography and angioplasty: Considering their complications.
Article in ARYA atherosclerosis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04183140 (Comparation of Transulnar Versus Transradial Approach for Primary Percutaneous Coronary Intervention in Patients With ST-elevated Myocardial Infarction in Terms of Procedure Complications and In-hospital Cardiac Outcomes), which is not on this map. Cited by 11 papers.
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The trial behind it
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Comparation of Transulnar Versus Transradial Approach for Primary Percutaneous Coronary Intervention in Patients With ST-elevated Myocardial Infarction in Terms of Procedure Complications and In-hospital Cardiac Outcomes
Who cites it
11 citing papers in PubMed.
- What is the preferred hemostasis method for coronary angiography through the palmar artery access?Cardiovascular intervention and therapeutics · 2021Trial
- Manual versus mechanical compression hemostasis approach after coronary angiography via snuffbox access.Anatolian journal of cardiology · 2021Trial
- Electrophysiological Assessment of Ulnar Nerve Function After Proximal and Distal Transulnar Coronary Angiography.Journal of clinical medicine · 2026Article
- Transulnar Arterial Access for Intra-Operative Cerebral Angiography during Prone Cerebrovascular Surgery.Neurointervention · 2026Article
- Common ground, different path: Ulnar artery access for interventional neurovascular procedures.Interventional neuroradiology : journal of peritherapeutic neuroradiology, surgical procedures and related neurosciences · 2022Article
- Trans-snuff box approach as a new access site for coronary angiography and angioplasty versus trans-radial approach in terms of feasibility, safety, and complications.ARYA atherosclerosis · 2020Article
- 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 : (EHJ) : official bulletin of the Egyptian Society of Cardiology · 2020Article
- Distal Radial and Ulnar Arteries: the Alternative Forearm Access.Current treatment options in cardiovascular medicine · 2020Review
- Outpatient treatment of cerebral aneurysms: A case series.Surgical neurology international · 2020Article
- Transradial approach and its variations for neurointerventional procedures: Literature review.Surgical neurology international · 2020Review
- Dual alternate access sites for the treatment of an ostial left common iliac artery chronic total occlusion.SAGE open medical case reports · 2020Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundTransulnar approach was introduced as an alternative procedure for transradial coronary angiography (CAG) due to its safety and feasibility. The present study was accomplished with the aim to compare major and minor complications of these two upper extremity approaches in the population under study.
methodsIn this prospective observational study, 216 patients who underwent CAG and/or angioplasty via radial (111 cases) or ulnar artery (105 cases) were observed and followed for 6 months and were evaluated for major adverse cardiac events (MACEs), minor and major neurovascular events (access related) of the arm including paresthesia/pain, pseudoaneurysm, artery spasm, arterial occlusion, large hematoma, and necessity for amputation or emergency surgery.
resultsThe majority of patients were men (62.1%) with a mean age of 59.98 ± 9.74 years old. No MACEs and major life threatening vascular complication like large hematoma, need for amputation or surgery, and hand ischemia were occurred. There was no significant difference in minor complications, except for arterial occlusion 9.0 % vs 1.0 % and artery spasm 12.6 % vs 1.9 % in transradial and transulnar approaches, respectively (P < 0.05).
conclusionThis study suggested that both transradial and transulnar approaches were safe and feasible for CAG and/or angioplasty. However, regarding minor complications, arterial spasm and occlusion were significantly more common in transradial approach.
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