Radial and ulnarartery patency after cardiac catheterisation. Medium-term follow-up analysis

3^rd Euro Nursing & Medicare Summit

July 27-29, 2015 Valencia, Spain

Prudencia G�³mez Fern�¡ndez, Javier Landero, Esteban Bob�³Mass�³, Ana Rodriguez and Morales Eugenia Gracia Hiraldo

Complejo Hospitalario Universitario de Huelva, Spain

Posters-Accepted Abstracts: J Nurs Care

Abstract :

Introduction: The use of the radial/ulnarartery access for cardiac catheterization procedures has increased progressively in the last years looking to a reduction in vascular complications. The purpose of our study was to evaluate the rate of patency of the searteries when used routinely for catheterization procedures in an institution performing radially (ulnary) most of the cases. Patients & Methods: 213 consecutive patients who underwent cardiac catheterization were included prospectively in a twomonth period. Doppler ultra sound of the vascular access was carried out before and one month after the procedure. Results: 10 of the 213 patients were lost in the follow-up. The remaining 203 were mostly men (72%) with an average age of 63+\-15 years. 30% were diabetic, 63% hypertensive, 43% hyperlipidemic and 29% were smoker. Importantly enough, 30% had a previous catheterization procedure and 1.4% suffered from peripheral disease. Concerning their anti thromboticregimen, 90% were onaspirin, 76% onclopidogrel, 49% on low molecular weight heparin and 2% onwarfarin. In 91% of the patients the access was right radial, 7% left radial and 2% rightulnar. All the patients had a patent vessel by Doppler assessment before the procedure. 6F was the predominants heath size (86%). 5% of the patients had a hematoma after the procedure. In the onemonth follow-up Doppler, the vessel was patent in all the cases. Conclusions: The radial/ulnaraccess, when used routinely is very safe, with a very low rate of vascular complications and 100% rate of patency in the one-month follow-up Doppler.

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