Efficacy and safety of transulnar coronary angiography and interventions - A single center experience

Anand R. Deshmukh, Manu Kaushik, Ahmed Aboeata, Jamil Abuzetun, Tammy L. Burns, Caroline A. Nubel, Michael White, Thomas J. Lanspa, Claire B. Hunter, Aryan N. Mooss, Dennis J. Esterbrooks

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Abstract

Objectives To evaluate the efficacy and long-term safety of transulnar approach in complex coronary interventions. Background The success rate of transulnar approach in complex coronary interventions and its long-term safety remains to be proven. Methods We conducted a retrospective chart review of patients undergoing transulnar coronary angiography and interventions at our institution from January 2004 through July 2009. Primary endpoint of the study was the success rate of the procedure. Secondary endpoints were major bleeding, local vascular and neurological complications, cerebrovascular accident (CVA)/transient ischemic attack (TIA), myocardial infarction (MI), all-cause mortality, and major adverse cardiovascular events (MACE) rate that was a composite of MI, CVA/TIA, and all-cause mortality. Results Of 81 patients undergoing transulnar approach, 41 (50.6%) patients underwent intervention on 65 lesions. Twelve percent of the interventions were performed on coronary bypass grafts and 9.2% on the left main coronary artery. Success rates for transulnar access, coronary angiography, and coronary/bypass graft interventions were 93.8%, 100%, and 92.6%, respectively. Follow-up data was available on 71 patients at short term (30 days) and 58 patients at long term (1 year). At 30-day follow-up, vascular complication rate was 2.8 %. At 1-year follow-up, there were no residual deficits from vascular or neurological complications associated with the index procedure and the overall MACE rate was 3.4%. Conclusion In this first study evaluating long-term safety and feasibility of transulnar coronary angiography and complex coronary interventions, we conclude that transulnar approach appears to be safe and effective. © 2013 Wiley Periodicals, Inc.

Original languageEnglish
JournalCatheterization and Cardiovascular Interventions
Volume83
Issue number1
DOIs
StatePublished - Jan 1 2014

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Coronary Angiography
Safety
Blood Vessels
Transient Ischemic Attack
Stroke
Myocardial Infarction
Transplants
Mortality
Coronary Vessels
Hemorrhage

All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine
  • Radiology Nuclear Medicine and imaging

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Efficacy and safety of transulnar coronary angiography and interventions - A single center experience. / Deshmukh, Anand R.; Kaushik, Manu; Aboeata, Ahmed; Abuzetun, Jamil; Burns, Tammy L.; Nubel, Caroline A.; White, Michael; Lanspa, Thomas J.; Hunter, Claire B.; Mooss, Aryan N.; Esterbrooks, Dennis J.

In: Catheterization and Cardiovascular Interventions, Vol. 83, No. 1, 01.01.2014.

Research output: Contribution to journalArticle

Deshmukh, Anand R. ; Kaushik, Manu ; Aboeata, Ahmed ; Abuzetun, Jamil ; Burns, Tammy L. ; Nubel, Caroline A. ; White, Michael ; Lanspa, Thomas J. ; Hunter, Claire B. ; Mooss, Aryan N. ; Esterbrooks, Dennis J. / Efficacy and safety of transulnar coronary angiography and interventions - A single center experience. In: Catheterization and Cardiovascular Interventions. 2014 ; Vol. 83, No. 1.
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abstract = "Objectives To evaluate the efficacy and long-term safety of transulnar approach in complex coronary interventions. Background The success rate of transulnar approach in complex coronary interventions and its long-term safety remains to be proven. Methods We conducted a retrospective chart review of patients undergoing transulnar coronary angiography and interventions at our institution from January 2004 through July 2009. Primary endpoint of the study was the success rate of the procedure. Secondary endpoints were major bleeding, local vascular and neurological complications, cerebrovascular accident (CVA)/transient ischemic attack (TIA), myocardial infarction (MI), all-cause mortality, and major adverse cardiovascular events (MACE) rate that was a composite of MI, CVA/TIA, and all-cause mortality. Results Of 81 patients undergoing transulnar approach, 41 (50.6{\%}) patients underwent intervention on 65 lesions. Twelve percent of the interventions were performed on coronary bypass grafts and 9.2{\%} on the left main coronary artery. Success rates for transulnar access, coronary angiography, and coronary/bypass graft interventions were 93.8{\%}, 100{\%}, and 92.6{\%}, respectively. Follow-up data was available on 71 patients at short term (30 days) and 58 patients at long term (1 year). At 30-day follow-up, vascular complication rate was 2.8 {\%}. At 1-year follow-up, there were no residual deficits from vascular or neurological complications associated with the index procedure and the overall MACE rate was 3.4{\%}. Conclusion In this first study evaluating long-term safety and feasibility of transulnar coronary angiography and complex coronary interventions, we conclude that transulnar approach appears to be safe and effective. {\circledC} 2013 Wiley Periodicals, Inc.",
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AU - Kaushik, Manu

AU - Aboeata, Ahmed

AU - Abuzetun, Jamil

AU - Burns, Tammy L.

AU - Nubel, Caroline A.

AU - White, Michael

AU - Lanspa, Thomas J.

AU - Hunter, Claire B.

AU - Mooss, Aryan N.

AU - Esterbrooks, Dennis J.

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N2 - Objectives To evaluate the efficacy and long-term safety of transulnar approach in complex coronary interventions. Background The success rate of transulnar approach in complex coronary interventions and its long-term safety remains to be proven. Methods We conducted a retrospective chart review of patients undergoing transulnar coronary angiography and interventions at our institution from January 2004 through July 2009. Primary endpoint of the study was the success rate of the procedure. Secondary endpoints were major bleeding, local vascular and neurological complications, cerebrovascular accident (CVA)/transient ischemic attack (TIA), myocardial infarction (MI), all-cause mortality, and major adverse cardiovascular events (MACE) rate that was a composite of MI, CVA/TIA, and all-cause mortality. Results Of 81 patients undergoing transulnar approach, 41 (50.6%) patients underwent intervention on 65 lesions. Twelve percent of the interventions were performed on coronary bypass grafts and 9.2% on the left main coronary artery. Success rates for transulnar access, coronary angiography, and coronary/bypass graft interventions were 93.8%, 100%, and 92.6%, respectively. Follow-up data was available on 71 patients at short term (30 days) and 58 patients at long term (1 year). At 30-day follow-up, vascular complication rate was 2.8 %. At 1-year follow-up, there were no residual deficits from vascular or neurological complications associated with the index procedure and the overall MACE rate was 3.4%. Conclusion In this first study evaluating long-term safety and feasibility of transulnar coronary angiography and complex coronary interventions, we conclude that transulnar approach appears to be safe and effective. © 2013 Wiley Periodicals, Inc.

AB - Objectives To evaluate the efficacy and long-term safety of transulnar approach in complex coronary interventions. Background The success rate of transulnar approach in complex coronary interventions and its long-term safety remains to be proven. Methods We conducted a retrospective chart review of patients undergoing transulnar coronary angiography and interventions at our institution from January 2004 through July 2009. Primary endpoint of the study was the success rate of the procedure. Secondary endpoints were major bleeding, local vascular and neurological complications, cerebrovascular accident (CVA)/transient ischemic attack (TIA), myocardial infarction (MI), all-cause mortality, and major adverse cardiovascular events (MACE) rate that was a composite of MI, CVA/TIA, and all-cause mortality. Results Of 81 patients undergoing transulnar approach, 41 (50.6%) patients underwent intervention on 65 lesions. Twelve percent of the interventions were performed on coronary bypass grafts and 9.2% on the left main coronary artery. Success rates for transulnar access, coronary angiography, and coronary/bypass graft interventions were 93.8%, 100%, and 92.6%, respectively. Follow-up data was available on 71 patients at short term (30 days) and 58 patients at long term (1 year). At 30-day follow-up, vascular complication rate was 2.8 %. At 1-year follow-up, there were no residual deficits from vascular or neurological complications associated with the index procedure and the overall MACE rate was 3.4%. Conclusion In this first study evaluating long-term safety and feasibility of transulnar coronary angiography and complex coronary interventions, we conclude that transulnar approach appears to be safe and effective. © 2013 Wiley Periodicals, Inc.

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