Lee Sang Hyun, Chun Kook Jin, Lee Dae Sung, Lee Soo Yong, Hwang Jongmin, Chon Min Ku, Hwang Ki Won, Kim Jeong Su, Park Yong Huyn, Kim June Hong
Division of Cardiology, Department of Internal Medicine, Pusan National University Yangsan Hospital, Yangsan, Korea.
Korean Circ J. 2016 Mar;46(2):207-12. doi: 10.4070/kcj.2016.46.2.207. Epub 2016 Mar 21.
Right heart catheterization is traditionally performed using a femoral vein approach that involves admission, bed rest, and risks of bleeding and hematoma. Recent studies have confirmed safety of the use of forearm vein for right cardiac catheterization. In the present study, we evaluated the feasibility of right cardiac catheterization via the antecubital fossa vein in Korean patients.
The medical records of all patients who underwent right heart catheterization at our hospital between January 2003 and December 2014 were reviewed retrospectively. Right cardiac catheterizations via the antecubital fossa vein and the femoral vein were compared in terms of demographic data (age, sex, weight, height, and body mass index), indications for right cardiac catheterization, and procedural and outcome data (initial success rate, procedure time, compression to ambulation time, and complications).
We reviewed 132 cases (antecubital fossa vein approach, n=37; femoral vein approach, n=95). The demographic data, initial success rate (100% vs. 100%) and procedure time (21.6±16.8 min vs. 25.6±12.6 min, p=0.14) were similar in both groups. The antecubital fossa vein group had a shorter mean compression to ambulation time than the femoral vein group (0.0 min vs. 201.2±48.1 min, p<0.01). No complications were observed in either group.
Our study indicated the ease of performance of right cardiac catheterization via the antecubital fossa vein. Thus, the antecubital fossa vein can be an alternative access site for right cardiac catheterization in Korean patients.
传统上，右心导管检查采用股静脉途径，这需要住院、卧床休息，且有出血和血肿风险。近期研究已证实使用前臂静脉进行右心导管检查的安全性。在本研究中，我们评估了在韩国患者中经肘前窝静脉进行右心导管检查的可行性。
回顾性分析了2003年1月至2014年12月期间在我院接受右心导管检查的所有患者的病历。比较了经肘前窝静脉和股静脉进行右心导管检查的人口统计学数据（年龄、性别、体重、身高和体重指数）、右心导管检查的适应证以及操作和结果数据（初始成功率、操作时间、压迫至下床活动时间和并发症）。
我们回顾了132例病例（肘前窝静脉途径，n = 37；股静脉途径，n = 95）。两组的人口统计学数据、初始成功率（100%对100%）和操作时间（21.6±16.8分钟对25.6±12.6分钟，p = 0.14）相似。肘前窝静脉组的平均压迫至下床活动时间比股静脉组短（0.0分钟对201.2±48.1分钟，p < 0.01）。两组均未观察到并发症。
我们的研究表明经肘前窝静脉进行右心导管检查操作简便。因此，肘前窝静脉可作为韩国患者右心导管检查的替代穿刺部位。
