ǥ :
|
ȣ - 490088 87 |
Comparison between transfemoral and antecubital vein approach for right heart catheterizaion |
Department of Internal Medicine, College of Medicine, Pusan National University, Busan, Korea |
Hyeon Gook Lee, Kook Jin Chun, Jun Hyuk Oh, Dong Won Lee, Byung Jae Ahn, Seong Ho Kim, Joon Sang Lee, Moo Young Kim, Woo Hyung Bae, Jun Kim, June Hong Kim, Taek Jong Hong, Yung Woo Shin |
Introduction: In most patients, right heart catheterization was done through the femoral, internal jugular or subclavian vein. However, femoral approach led to bed rest for several hours and carried a risk of complications such as bleeding, hematoma and vascular dissection. So, we evaluated the usefulness of antecubital approach to right heart catheterization. Methods: Antecubital vein puncture was attempted in 48 patients from September 2002 to July 2005. They were performed the right cardiac catheterization through antecubital vein using the 6 Fr wedge-balloon catheter. Procedural success rate, complication and other results were compared with femoral approach. Results: There were no significant differences in success rate, procedural time and complications between antecubital and femoral approach group. However, the bed rest time after femoral vein puncture was longer than that after antecubital vein puncture. Conclusions: We suggest antecubital vein is an alternative and useful access site in the case of need for right heart catheterization.
|
Plus Web Editor Control By Ensys co., Ltd
|
Antecubital
approach
|
Femoral
approach |
P value |
Number |
48 |
46 |
NS |
Procedural success rate
(%) |
97.9 |
100 |
NS |
Mean
procedural time (minute)
|
23.1±3.3 |
21.5±4.5 |
NS |
Mean postprocedural bed rest time
(hour) |
0.5±0.1 |
2.1±0.4 |
<0.05 |
Complications
Infection (phlebitis)
Bleeding
Hematoma
Thrombosis
Vascular dissection
Hemodynamic compromise |
0
0
0
0
0
0
0 |
0
0
0
0
0
0
0 |
NS |
|
|
|