Roberts Jonathan S, Niu Jianli
Memorial Cardiac and Vascular Institute, Memorial Regional Hospital, Memorial Healthcare System, Hollywood, Florida.
Catheter Cardiovasc Interv. 2018 Apr 1;91(5):901-904. doi: 10.1002/ccd.27351. Epub 2017 Oct 17.
With the increased use of transradial artery access (TRA) for diagnostic and coronary interventional procedures, crossover to the ipsilateral ulnar artery after TRA failure is being reported more frequently. A major challenge with ipsilateral transradial and ulnar artery access is achieving efficient patent hemostasis of both the radial and ulnar arteries at the completion of the procedure. In this report, we describe two cases of failed TRA with subsequent ipsilateral ulnar artery access. A novel and practical technique of simultaneous patent hemostasis of both the ipsilateral radial and ulnar artery access sites is described, using a QuikClot Radial hemostasis pad and a TR Band .
随着经桡动脉穿刺（TRA）在诊断和冠状动脉介入手术中的使用增加，TRA失败后交叉至同侧尺动脉的情况报道得越来越频繁。同侧经桡动脉和尺动脉穿刺的一个主要挑战是在手术结束时实现桡动脉和尺动脉的有效止血。在本报告中，我们描述了两例TRA失败后行同侧尺动脉穿刺的病例。本文介绍了一种新颖实用的技术，使用快速凝血桡动脉止血垫和TR带同时对同侧桡动脉和尺动脉穿刺部位进行有效止血。
