Abstract
Patients with previous coronary artery bypass graft (CABG) surgery represent a high-risk population with specific challenges to transradial access ,especially with saphenous vein grafts (SVG)intervention. In this chapter we review several specific problems related to cannulation of bypass grafts for diagnostic and intervention purposes through the radial artery. We also provide specific technical “tips and tricks” that might be helpful to overcome most common difficulties.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Kiemeneij F, Laarman GJ, Odekerken D, Slagboom T, van der Wieken R. A randomized comparison of percutaneous transluminal coronary angioplasty by the radial, brachial and femoral approaches: the access study. J Am Coll Cardiol. 1997;29(6):1269–75.
Rao SV, Cohen MG, Kandzari DE, Bertrand OF, Gilchrist IC. The transradial approach to percutaneous coronary intervention: historical perspective, current concepts, and future directions. J Am Coll Cardiol. 2010;55(20):2187–95.
Bertrand OF, Belisle P, Joyal D, Costerousse O, Rao SV, Jolly SS, et al. Comparison of transradial and femoral approaches for percutaneous coronary interventions: a systematic review and hierarchical Bayesian meta-analysis. Am Heart J. 2012;163(4):632–48.
Sanmartin M, Cuevas D, Goicolea J, Ruiz-Salmeron R, Gomez M, Argibay V. Vascular complications associated with radial artery access for cardiac catheterization. Rev Esp Cardiol. 2004;57(6):581–4.
Dehghani P, Mohammad A, Bajaj R, Hong T, Suen CM, Sharieff W, et al. Mechanism and predictors of failed transradial approach for percutaneous coronary interventions. JACC Cardiovasc Interv. 2009;2(11):1057–64.
Abdelaal E, Brousseau-Provencher C, Montminy S, Plourde G, MacHaalany J, Bataille Y, et al. Risk score, causes, and clinical impact of failure of transradial approach for percutaneous coronary interventions. JACC Cardiovasc Interv. 2013;6(11):1129–37.
Michael TT, Alomar M, Papayannis A, Mogabgab O, Patel VG, Rangan BV, et al. A randomized comparison of the transradial and transfemoral approaches for coronary artery bypass graft angiography and intervention: the RADIAL-CABG Trial (RADIAL Versus Femoral Access for Coronary Artery Bypass Graft Angiography and Intervention). JACC Cardiovasc Interv. 2013;6(11):1138–44.
Sanmartin M, Cuevas D, Moxica J, Valdes M, Esparza J, Baz JA, et al. Transradial cardiac catheterization in patients with coronary bypass grafts: feasibility analysis and comparison with transfemoral approach. Catheter Cardiovasc Interv Off J Soc Cardiac Angiography Interv. 2006;67(4):580–4.
Burzotta F, Trani C, Hamon M, Amoroso G, Kiemeneij F. Transradial approach for coronary angiography and interventions in patients with coronary bypass grafts: tips and tricks. Catheter Cardiovasc Interv Off J Soc Cardiac Angiography Interv. 2008;72(2):263–72.
Burzotta F, Trani C, Todaro D, Romagnoli E, Niccoli G, Ginnico F, et al. Comparison of the transradial and transfemoral approaches for coronary angiographic evaluation in patients with internal mammary artery grafts. J Cardiovasc Med. 2008;9(3):263–6.
Sharma GL, Louvard Y, Tavolaro O, Lefevre T, Loubeyre C, Dumas P, et al. Less invasive PTCA of a gastroepiploic artery combining the transradial approach and 5 Fr guiding catheter: a case report. Catheter Cardiovasc Interv Off J Soc Cardiac Angiography Interv. 2002;56(4):494–7.
Farooq V, Mamas MA, Fath-Ordoubadi F, Fraser DG. The use of a guide catheter extension system as an aid during transradial percutaneous coronary intervention of coronary artery bypass grafts. Catheter Cardiovasc Interv Off J Soc Cardiac Angiography Interv. 2011;78(6):847–63.
Garcia-Touchard A, Fernandez-Diaz JA, Francisco DO, Goicolea-Ruigomez J. Intraarterial guidewire external compression: a simple technique for successful LIMA angiography through the right radial approach. J Interv Cardiol. 2008;21(2):175–7.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2017 Springer Science+Business Media Dordrecht
About this chapter
Cite this chapter
Sanmartin, M., Moreno-Vinues, C. (2017). Transradial Approach for Patients with Prior CABG. In: Zhou, Y., Kiemeneij, F., Saito, S., Liu, W. (eds) Transradial Approach for Percutaneous Interventions. Springer, Dordrecht. https://doi.org/10.1007/978-94-017-7350-8_21
Download citation
DOI: https://doi.org/10.1007/978-94-017-7350-8_21
Published:
Publisher Name: Springer, Dordrecht
Print ISBN: 978-94-017-7349-2
Online ISBN: 978-94-017-7350-8
eBook Packages: MedicineMedicine (R0)