Abstract
Ulnar artery access is a favorable alternative technique for endovascular transcatheter procedures when radial artery access is contraindicated or the radial artery must be preserved. The purpose of this chapter is to describe the clinical considerations of performing ulnar artery access and provide real-world case examples. At the end of this chapter the reader will have the basic knowledge and tools to perform ulnar artery access for a wide range of endovascular procedures.
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Abbreviations
- RA:
-
Radial artery
- TFA:
-
Transfemoral arterial access
- TRA:
-
Transradial arterial access
- TUA:
-
Transulnar arterial access
- UA:
-
Ulnar artery
References
Mason PJ, Shah B, Tamis-Holland JE, et al. An update on radial artery access and best practices for transradial coronary angiography and intervention in acute coronary syndrome: a scientific statement from the American Heart Association. Circ Cardiovasc Interv. 2018;11:e000035.
Terashima M, Meguro T, Takeda H, et al. Percutaneous ulnar artery approach for coronary angiography: a preliminary report in nine patients. Catheter Cardiovasc Interv. 2001;53:410–4.
Gokhroo R, Bisht D, Padmanabhan D, Gupta S, Kishor K, Ranwa B. Feasibility of ulnar artery for cardiac catheterization: AJmer ULnar ARtery (AJULAR) catheterization study. Catheter Cardiovasc Interv. 2015;86:42–8.
Ruzsa Z, Toth K, Nemes B, et al. Transradial and transulnar access for iliac artery interventions using sheathless guiding systems: a feasibility study. Catheter Cardiovasc Interv. 2016;88:923–31.
Roghani-Dehkordi F, Mansouri R, Khosravi A, Mahaki B, Akbarzadeh M, Kermani-Alghoraishi M. Transulnar versus transradial approach for coronary angiography and angioplasty: considering their complications. ARYA Atheroscler. 2018;14:128–31.
de Andrade PB, Tebet MA, Nogueira EF, et al. Transulnar approach as an alternative access site for coronary invasive procedures after transradial approach failure. Am Heart J. 2012;164:462–7.
Gokhroo R, Kishor K, Ranwa B, et al. Ulnar artery interventions non-inferior to radial approach: AJmer Ulnar ARtery (AJULAR) intervention working group study results. J Invasive Cardiol. 2016;28:1–8.
Sattur S, Singh M, Kaluski E. Trans-ulnar catheterization and coronary interventions: from technique to outcomes. Cardiovasc Revasc Med. 2017;18:299–303.
Kar S. Systematic review of alternative access for cardiac catheterization and percutaneous coronary intervention: dorsal distal radial and ulnar artery catheterization. Catheter Cardiovasc Interv. 2019;94(5):706–13.
Hahalis G, Tsigkas G, Xanthopoulou I, et al. Transulnar compared with transradial artery approach as a default strategy for coronary procedures: a randomized trial. The Transulnar or Transradial Instead of Coronary Transfemoral Angiographies Study (the AURA of ARTEMIS Study). Circ Cardiovasc Interv. 2013;6:252–61.
Dahal K, Rijal J, Lee J, Korr KS, Azrin M. Transulnar versus transradial access for coronary angiography or percutaneous coronary intervention: a meta-analysis of randomized controlled trials. Catheter Cardiovasc Interv. 2016;87:857–65.
Zybulewski A, Edwards M, Kim E, et al. Transulnar approach as an alternative to transradial approach in non-coronary intervention: safety, feasibility and technical factors. J Vasc Access. 2017;18:250–4.
Gatzopoulos D, Rigatou A, Kontopodis E, et al. Alternative access site choice after initial radial access site failure for coronary angiography and intervention. J Geriatr Cardiol. 2018;15:585–90.
Kuo F, Park J, Chow K, Chen A, Walsworth MK. Avoiding peripheral nerve injury in arterial interventions. Diagn Interv Radiol. 2019;25:380–91.
Seto AH, Kern MJ. Transulnar catheterization: the road less traveled. Catheter Cardiovasc Interv. 2016;87:866–7.
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Goldman, D., Lee, J.Y., Ranade, M. (2022). Transulnar Arterial Access. In: Fischman, A.M., Patel, R.S., Lookstein, R.A. (eds) Transradial Access in Interventional Radiology. Springer, Cham. https://doi.org/10.1007/978-3-030-81678-0_19
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DOI: https://doi.org/10.1007/978-3-030-81678-0_19
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