Читать книгу Interventional Cardiology - Группа авторов - Страница 73

Compared with the radial artery, the ulnar artery takes a deeper course; is in close proximity to the ulnar nerve; and is further from bone. As a result, hemostasis is more challenging with higher rates of neurovascular complications associated with trans‐ulnar access. A meta‐analysis of randomized trials comparing radial and ulnar approaches suggests similar time to access and fluoroscopy time, but over three‐fold increase in access complications (RR 3.58; 95% CI, 2.67 – 4.79, p < 0.001) [14]. We therefore prefer TRA except in patients with diminutive/hypoplastic radial artery with very large dominant ulnar artery at the wrist.