A comparative review of various interventional methods for coronary angiography and angioplasty

Document Type : Research Paper

Authors

1 Faculty of Nursing and Midwifery, Young Researchers and Elite Club, Isfahan (Khorasgan) Branch, Islamic Azad University, Isfahan, Iran

2 Department of Cardiology, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran

Abstract

Abstract
Background and Objective: Coronary artery disease (CAD) is one of the most common diseases today. Among the diagnostic methods, angiography is the main and gold standard in the diagnosis Since angiography is an invasive procedure, this procedure complications range widely from minor problems with short term sequelae to life threatening ones may cause irreversible damage or even death.
Materials and Methods: This paper is a review study and papers published within the period of 2002-2017 were assessed. To obtain related scientific documents, web surfing was conducted in Persian and English using various keywords including angiography, coronary artery disease, angiography complications, patient satisfaction, femoral angiography, radial angiography, ulnar angiography, superficial palmar branch of ulnar artery, and snuff box angiography. Papers related to this subject were extracted from the Web of Science (ISI), PubMed, Magiran, Google Scholar, Elsevier, Ovid, and SID databases.
Results: Out of the 100 retrieved studies, 31 (3 cross sectional, 1 analytical descriptive, 7 descriptive studies, 6 reviews, 2 RCT, 5 Cohorts, 1 Case Report, and 6 Case series) were entered into this study. In addition, 69 records were excluded for wrong statistics reported, duplicate studies, lack of enough information, and lack of relevance to this study.
Conclusion: According to most studies, the procedure via hand for angiography is better than the lower extremity (femoral). In addition, it seems that the use of distal upper extremities for angiography is better than the radial and ulnar method. However, more research evidence is strongly warranted.

Keywords


  1. Dianati M, Mousavi MS, Feshangchi S, RezaieShahvarloo Z, Lotfi MS, Vaghefi M. The study of coronary angiography results in patients referred to coronary angiography laboratory of Shahid Beheshti Hospital from November 2010 to April 2011. Iranian Journal of Cardiovascular Nursing 2013; 2(1): 48- 54.
  2. Abdollahimoghadam A, Raffieijelodar H, Ebrahimi M. Prevalence of renal artery stenosis and its risk factors in female patients undergoing coronary angiography. The Iranian Journal of Obstetrics, Gynecology and Infertility 2013; 16(51): 7- 13.
  3. Bijani M, Valizadeh A, Sayari A, Samizadeh B. Surveying the reasons for refusing coronary angiography in patients referring to cardiac ward of Valiasr hospital in Fasa. Journal of Fasa University of Medical Sciences 2015; 4(4): 375- 381.
  4. Balaji NR, Shah PB. Radial artery catheterization. Circulation 2011; 24: e407- e408.
  5. Roghani-Dehkordi F, Hadizadeh M, Hadizadeh F. Percutaneous trans-ulnar artery approach for coronary angiography and angioplasty; A case series study. ARYA Atherosclerosis 2015; 11(5): 305-309.
  6. Tavakol M, Ashraf S, Brener SJ. Risks and complications of coronary angiography: a comprehensive review. Global Journal of Health Science 2012; 4(1): 65-93.
  7. 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 Atherosclerosis 2018;14(3):128-131.
  8. Yousefi AA, Madani M, Azimi HR, Farshidi H. The factors relevant to the onset of vascular complications after coronary intervention in Shahid Rajaei Cardiovascular Center in Tehran, Iran. Tehran University Medical Journal 2011; 69(7): 445- 450.
  9. Schwalm JD, Stacey D, Pericak D, Natarajan MK. Radial artery versus femoral artery access options in coronary angiogram procedures. Circulation Cardiovascular Quality and Outcomes 2012;  5: 260-266.
  10. Archbold RA, Robinson NM, Schilling RJ. Radial artery access for coronary angiography and percutaneous coronary intervention. British Medical Journal 2004; 329(7463): 443-446.
  11. Sallam M, Al-Riyami A, Misbah M, Al-Sukaiti R, Al-Alawi A, Al-Wahaibi A. Procedural and clinical utility of transulnar approach for coronary procedures following failure of radial route: Single centre experience. Journal of the Saudi Heart Association 2014; 26:138-144.
  12. Tayeh O, Ettori F. Coronary angiography safety between radial and femoral access. The Egyptian Heart Journal 2014; 66, 149-154.
  13. Roghani-Dehkordi F, Hashemifard O, Sadeghi M, Mansouri R, Akbarzadeh M, Dehghani A, et al. Distal accesses in the hand (two novel techniques) for percutaneous coronary angiography and intervention. ARYA Atherosclerosis 2018;14(2):95-100.
  14. Shah RM, Patel D, Abbate A, Cowley MJ, Jovin IS. Comparison of transradial coronary procedures via right radial versus left radial artery approach: A meta-analysis. Catheterization and Cardiovascular Interventions 2016; 88(7):1027-1033.
  15. Tarighatnia A, Mohammad Alian AH, Ghojazadeh M, Farajollahi AR. Comparison of the patient radiation exposure during coronary angiography and angioplasty procedures using trans-radial and trans-femoral access. Journal of Cardiovascular and Thoracic Research 2016; 8(2), 77-82.
  16. Bhat FA, Changal KH, Raina H, Tramboo NA, Rather HA. Transradial versus transfemoral approach for coronary angiography and angioplasty– A prospective, randomized comparison. BMC Cardiovascular Disorders 2017; 17:23- 29.
  17. Brueck M, Bandorski D, Kramer W, Wieczorek M, Höltgen R, Tillmanns H. A Randomized comparison of transradial versus transfemoral approach for coronary angiography and angioplasty. Journal of the American College of Cardiology 2009; 2(11): 1047-1054.
  18. Pandie S, Mehta SR, Cantor WJ, Cheema AN, Gao P, Madan M, et al. Radial versus femoral access for coronary angiography/intervention in women with acute coronary syndromes. Journal of the American College of Cardiology 2015; 8(4): 505-512.
  19. Hahalis G, Tsigkas G, Xanthopoulou I, Deftereos S, Ziakas A, Raisakis K, et al. Transulnar compared with transradial artery approach as a default strategy for coronary procedures: a randomized trial. Circulation Cardiovascular Interventions 2013; 6: 252-261.
  20. Salim A, Ahsan SA, Siddique A, Banerjee SK, Rahman AF, Ahmed C, et al. Initial experience of coronary angiogram through trans ulnar route in Bangabandhu Sheikh Mujib Medical University. University Heart Journal 2013; 9(2): 80-82.
  21.  Khosravi A, Pourbehi MR, Pourmoghaddas M, Akhbari MR, Ziaee-Bideh F. Evaluating the impact of fractional flow reserve-guided percutaneous coronary intervention in intermediate coronary artery lesions on the mode of treatment and their outcomes: An Iranian experience. ARYA Atherosclerosis 2015; 11(2): 153-9.
  22. Dashkoff N, Dashkoff PB, Zizzi JA Sr, Wadhwani J, Zizzi JA Jr. Ulnar artery cannulation for coronary angiography and percutaneous coronary intervention: case reports and anatomic considerations. Catheterization and Cardiovascular Interventions 2002; 55(1): 93-96.
  23. Cerda A, del Sol M. Anatomical snuffbox and it clinical significance. a literature review. International Journal of Morphology 2015; 33(4):1355-1360.
  24. Roghani Dehkordi F, Hashemifard O, Mansouri R, Dehghani A, Akbari M. Merits of more distal accesses in the hand for coronary angiography and intervention: trans palmar approach. Clinical Cases in Complex Cardiovascular Therapy (International Conference) 2017; April 19- 31, Shiraz, Iran, pp: 80-81.
  25. Kiemeneij F. Left distal transradial access in the anatomical snuffbox for coronary angiography (IdTRA) and interventions (IdTRI). EuroIntervention 2017; 13(7):851-857
  26. Babunashvili A, Dundua  D. Recanalization and reuse of early occluded radial artery within 6 days after previous transradial diagnostic procedure. Catheterization and Cardiovascular Interventions 2011; 77(4):530-536.
  27. Kaledin  AL, Kochanov IN, Seletskiĭ SS, Arkharov IV, Burak  TIA, Kozlov KL. Peculiarities of arterial access in endovascular surgery in elderly patients. Advances in Gerontology 2014; 27(1):115-119
  28. Joshi SB, Vatsalaswamy P, Bahetee BH. Variation in formation of superficial palmar arches with clinical implications. Journal of Clinical and Diagnostic Research 2014; 8(4): AC06-AC09.
  29. Suman U, Jayanthi KS. A Study of complete superficial palmar arches formed entirely by ulnar artery. Journal of Anatomical Society of India 2011; 60(2): 199-201.
  30. Rao S, Vollala VR, Pamidi N, Nagabhooshana S, Kumar Potu B. Variant formation and distribution of the superficial palmar arch. Indian Journal of Plastic Surgery 2010; 43(1): 116-117.