Simultaneous radio-ulnar cannulation: shifting gears from ‘feasibility’ to ‘applicability’

Abstract Conventionally, routes of vascular access commonly include femoral and radial arteries with brachial, ulnar and subclavian arteries being rarely used for coronary interventions. Non-femoral arterial access is being increasingly preferred to minimise groin puncture site complications, prolon...

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Autores principales:	Ankit Kumar Sahu, Sudesh Prajapati, Danish Hasan Kazmi
Formato:	article
Lenguaje:	EN
Publicado:	SpringerOpen 2021
Materias:	Dual arterial cannulation Peripheral vascular complications Limb ischemia Limited vascular access Diseases of the circulatory (Cardiovascular) system RC666-701
Acceso en línea:	https://doaj.org/article/48d15df3e72840c6bfa01aa5d824ec1c
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id	oai:doaj.org-article:48d15df3e72840c6bfa01aa5d824ec1c
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spelling	oai:doaj.org-article:48d15df3e72840c6bfa01aa5d824ec1c2021-11-14T12:27:22ZSimultaneous radio-ulnar cannulation: shifting gears from ‘feasibility’ to ‘applicability’10.1186/s43044-021-00229-72090-911Xhttps://doaj.org/article/48d15df3e72840c6bfa01aa5d824ec1c2021-11-01T00:00:00Zhttps://doi.org/10.1186/s43044-021-00229-7https://doaj.org/toc/2090-911XAbstract Conventionally, routes of vascular access commonly include femoral and radial arteries with brachial, ulnar and subclavian arteries being rarely used for coronary interventions. Non-femoral arterial access is being increasingly preferred to minimise groin puncture site complications, prolonged immobilization and duration of hospital stay. However, radial artery cannulation is also fraught with fears of tortuosity, loops, vascular spasm, perforation, pseudoaneurysm formation, arm hematoma and arterial occlusion. In contemporary practice when most of the coronary procedures are being done via transradial access, encountering one of the above-mentioned hurdles often forces the operator to switchover to femoral access. Here, we explore the rationale, feasibility, operational logistics, clinical implications and future directions for using simultaneous radio-ulnar arterial access in the same extremity.Ankit Kumar SahuSudesh PrajapatiDanish Hasan KazmiSpringerOpenarticleDual arterial cannulationPeripheral vascular complicationsLimb ischemiaLimited vascular accessDiseases of the circulatory (Cardiovascular) systemRC666-701ENThe Egyptian Heart Journal, Vol 73, Iss 1, Pp 1-3 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	Dual arterial cannulation Peripheral vascular complications Limb ischemia Limited vascular access Diseases of the circulatory (Cardiovascular) system RC666-701
spellingShingle	Dual arterial cannulation Peripheral vascular complications Limb ischemia Limited vascular access Diseases of the circulatory (Cardiovascular) system RC666-701 Ankit Kumar Sahu Sudesh Prajapati Danish Hasan Kazmi Simultaneous radio-ulnar cannulation: shifting gears from ‘feasibility’ to ‘applicability’
description	Abstract Conventionally, routes of vascular access commonly include femoral and radial arteries with brachial, ulnar and subclavian arteries being rarely used for coronary interventions. Non-femoral arterial access is being increasingly preferred to minimise groin puncture site complications, prolonged immobilization and duration of hospital stay. However, radial artery cannulation is also fraught with fears of tortuosity, loops, vascular spasm, perforation, pseudoaneurysm formation, arm hematoma and arterial occlusion. In contemporary practice when most of the coronary procedures are being done via transradial access, encountering one of the above-mentioned hurdles often forces the operator to switchover to femoral access. Here, we explore the rationale, feasibility, operational logistics, clinical implications and future directions for using simultaneous radio-ulnar arterial access in the same extremity.
format	article
author	Ankit Kumar Sahu Sudesh Prajapati Danish Hasan Kazmi
author_facet	Ankit Kumar Sahu Sudesh Prajapati Danish Hasan Kazmi
author_sort	Ankit Kumar Sahu
title	Simultaneous radio-ulnar cannulation: shifting gears from ‘feasibility’ to ‘applicability’
title_short	Simultaneous radio-ulnar cannulation: shifting gears from ‘feasibility’ to ‘applicability’
title_full	Simultaneous radio-ulnar cannulation: shifting gears from ‘feasibility’ to ‘applicability’
title_fullStr	Simultaneous radio-ulnar cannulation: shifting gears from ‘feasibility’ to ‘applicability’
title_full_unstemmed	Simultaneous radio-ulnar cannulation: shifting gears from ‘feasibility’ to ‘applicability’
title_sort	simultaneous radio-ulnar cannulation: shifting gears from ‘feasibility’ to ‘applicability’
publisher	SpringerOpen
publishDate	2021
url	https://doaj.org/article/48d15df3e72840c6bfa01aa5d824ec1c
work_keys_str_mv	AT ankitkumarsahu simultaneousradioulnarcannulationshiftinggearsfromfeasibilitytoapplicability AT sudeshprajapati simultaneousradioulnarcannulationshiftinggearsfromfeasibilitytoapplicability AT danishhasankazmi simultaneousradioulnarcannulationshiftinggearsfromfeasibilitytoapplicability
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Simultaneous radio-ulnar cannulation: shifting gears from ‘feasibility’ to ‘applicability’

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