{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T23:06:50Z","timestamp":1777936010825,"version":"3.51.4"},"reference-count":14,"publisher":"SAGE Publications","issue":"6","license":[{"start":{"date-parts":[[2020,11,8]],"date-time":"2020-11-08T00:00:00Z","timestamp":1604793600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Research Incentive Fund, Hospital de Cl\u00ednicas de Porto Alegre (FIPE\/HCPA)."}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Vasc Access"],"published-print":{"date-parts":[[2021,11]]},"abstract":"<jats:sec>\n                    <jats:title>Background:<\/jats:title>\n                    <jats:p>The upper limb approach utilizing transradial access for combined left and right heart catheterization (CLRHC) and ultrasound-guided antecubital venous access for isolated right heart catheterization (IRHC) are strategies that may reduce risks, especially in anticoagulated patients. combined left and right heart catheterization<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives:<\/jats:title>\n                    <jats:p>To assess safety and feasibility of upper limb approach for IRHC or CLRHC in anticoagulated versus non-anticoagulated patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>Ninety-three patients who underwent IRHC or CLRHC with ultrasound-guided antecubital venous access and transradial arterial access were prospectively enrolled. The primary outcome was a composite of procedure failure and incidence of immediate vascular complications.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Of the 93 patients, 44 (47%) were on anticoagulation and 49 (53%) were not. Mean age was 54 \u00b1 17 and 53 \u00b1 15 years, respectively. Atrial fibrillation (39% vs 15%) and chronic kidney disease (21% vs 6%) were more common in anticoagulated patients. The main indication for anticoagulation was deep vein thrombosis\/pulmonary thromboembolism in 22 patients (50%). The primary outcome occurred in 4 (8%) patients in the non-anticoagulated group as compared with 0 in the anticoagulated group ( p = 0.12). Procedure failure occurred in two patients (4%) and immediate vascular complications in two patients (4%) in the non-anticoagulated group ( p = 0.3 for all). There was no difference between groups regarding duration of the procedure, radiation dose, fluoroscopy time, post-procedure recovery room time and median time to venous or arterial hemostasis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>The upper limb approach for heart catheterization had similar rates of procedure failure and immediate vascular complications in anticoagulated patients when compared to non-anticoagulated patients.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/1129729820971528","type":"journal-article","created":{"date-parts":[[2020,11,9]],"date-time":"2020-11-09T01:07:51Z","timestamp":1604884071000},"page":"935-941","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Safety and feasibility of upper limb vascular access for cardiac catheterization in anticoagulated and non-anticoagulated patients"],"prefix":"10.1177","volume":"22","author":[{"given":"Felipe Pereira Lima","family":"Marques","sequence":"first","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul, Postgraduate Program in Health Science: Cardiology and Cardiovascular Sciences, Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe Homem","family":"Valle","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul, Postgraduate Program in Health Science: Cardiology and Cardiovascular Sciences, Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gustavo Neves de","family":"Araujo","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul, Postgraduate Program in Health Science: Cardiology and Cardiovascular Sciences, Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5514-2562","authenticated-orcid":false,"given":"Guilherme","family":"Pinheiro Machado","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul, Postgraduate Program in Health Science: Cardiology and Cardiovascular Sciences, Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rodrigo","family":"Amantea","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul, School of Medicine, Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felipe C","family":"Fuchs","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul, Postgraduate Program in Health Science: Cardiology and Cardiovascular Sciences, Porto Alegre, Brazil"},{"name":"Hospital de Cl\u00ednicas de Porto Alegre, Division of Cardiology, Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Luiz Carlos","family":"Bergoli","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul, Postgraduate Program in Health Science: Cardiology and Cardiovascular Sciences, Porto Alegre, Brazil"},{"name":"Hospital de Cl\u00ednicas de Porto Alegre, Division of Cardiology, Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Sandro Cadaval","family":"Goncalves","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul, Postgraduate Program in Health Science: Cardiology and Cardiovascular Sciences, Porto Alegre, Brazil"},{"name":"Hospital de Cl\u00ednicas de Porto Alegre, Division of Cardiology, Porto Alegre, Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marco","family":"Wainstein","sequence":"additional","affiliation":[{"name":"Universidade Federal do Rio Grande do Sul, Postgraduate Program in 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Brazil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2020,11,8]]},"reference":[{"key":"bibr1-1129729820971528","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2008.12.073"},{"key":"bibr2-1129729820971528","doi-asserted-by":"publisher","DOI":"10.1001\/archinternmed.2010.271"},{"key":"bibr3-1129729820971528","doi-asserted-by":"publisher","DOI":"10.1016\/j.ahj.2008.08.023"},{"key":"bibr4-1129729820971528","doi-asserted-by":"publisher","DOI":"10.1016\/j.jacc.2012.06.017"},{"key":"bibr5-1129729820971528","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(15)60292-6"},{"key":"bibr6-1129729820971528","doi-asserted-by":"publisher","DOI":"10.1016\/j.cjca.2015.04.026"},{"issue":"1","key":"bibr7-1129729820971528","doi-asserted-by":"crossref","first-page":"e001181","DOI":"10.1136\/openhrt-2019-001181","volume":"7","author":"Valle FH","year":"2020","journal-title":"Open 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