Compared to femoral venous access, upper extremity right heart catheterization reduces time to ambulation: A single center experience.
Catheter Cardiovasc Interv
; 89(4): 658-664, 2017 Mar 01.
Article
en En
| MEDLINE
| ID: mdl-27193695
OBJECTIVES: To determine ambulation times after right heart catheterization (RHC) via upper extremity access compared to femoral venous access. BACKGROUND: Transradial coronary angiography has been associated with shorter times to ambulation. We hypothesized that RHC from the upper extremity would be similarly associated with shorter ambulation times when compared to traditional femoral access. METHODS: We performed a single-center retrospective analysis of 379 consecutive patients who underwent a variety of diagnostic and interventional left- and right-heart procedures through upper extremity and femoral access sites. RESULTS: The time to ambulation for RHC through the arm veins versus the femoral vein was lower (42.6 min ± 14.2 vs. 175.0 min ± 65.0, P < 0.001). Fluoroscopy times (8.5 min ± 6.8 vs. 12.8 min ± 8.4, P < 0.001) and radiation doses (64.1 Gy cm-2 ± 60.0 vs. 108.5 Gy cm-2 ± 71.6, P < 0.001) were reduced in the radial compared to femoral group, respectively. In multivariate analyses, upper arm access (P < 0.0001), lower heparin dose (P = 0.032), inpatient status (P = 0.01), and concurrent PCI (P = 0.03) were associated with shorter times to ambulation. CONCLUSIONS: Right heart catheterization from the upper extremity is strongly associated with shorter times to ambulation. © 2016 Wiley Periodicals, Inc.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Base de datos:
MEDLINE
Asunto principal:
Cateterismo Cardíaco
/
Disfunción Ventricular Derecha
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Atención Ambulatoria
Tipo de estudio:
Observational_studies
Límite:
Aged
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Female
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Humans
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Male
Idioma:
En
Revista:
Catheter Cardiovasc Interv
Asunto de la revista:
CARDIOLOGIA
Año:
2017
Tipo del documento:
Article
Pais de publicación:
Estados Unidos