CCCardiol CroatCardiologia CroaticaCardiol. Croat.1848-543X1848-5448Croatian Cardiac SocietyCC_11(10-11)_55710.15836/ccar2016.557Extended AbstractThe role of nurses / technicians in the Catheterization Laboratory during the peripheral interventions using transradial accessDaskijevićJadrankaPosavecLidijaUniversity Hospital Centre “Sestre milosrdnice”, Zagreb, CroatiaAddress for correspondence: Jadranka Daskijević, Klinički bolnički centar Sestre milosrdnice, Vinogradska 29, HR-10000 Zagreb, Croatia. / Phone: +385-1-3787-111 / E-mail: jadranka.daskijevic@kbcsm.hr1120161110-1155755730092016101020162016Croatian Cardiac SocietyKeywords: transradial accessrole of nurse
Usage of transradial approach for diagnostics and angioplasty of peripheral arteries in recent years is constantly growing. (1) The main limit to more significant application is the distance of the radial artery to the lower limb arteries. Arteries that are available for transradial access are: renal artery, superior mesenteric artery and the arteries of the pelvis while more distal arteries (e.g. a. femoralis superfitialis) according to the available materials are not. Advantages of the transradial approach in interventional cardiology in comparison to femoral are very well known. The usual position of patient in the Cath Lab for transradial peripheral intervention is with head forward. Most common used is left radial approach with if necessary femoral arteries in addition. The procedure starts with introducing diagnostic “pig tail” catheter. Before the angioplasty short introducer has to be replaced to a long one (commercially available introducer is 100 cm).
In our Cat Lab from January 2011 to October 2016 for diagnostics and/or angioplasty of peripheral arteries 120 transradial procedures were performed. In 14 cases transradial approach was the only approach needed while in 36 cases femoral access was used as an additional to radial. All interventions were performed at the pelvic arteries. Nowadays the leading approach for catheterization of peripheral arteries is still femoral. According to rapid development of new materials that will enable interventions on more distal arteries the number of transradial dedicated Cath Lab’s for that purpose will rise.
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