Key result
Peripheral venous access for RHC yields favorable observational results despite lacking randomized data.
Peripheral venous access from the arm for right heart catheterization is a re-emerging technique with favorable observational outcomes that may reduce complications associated with direct central vein puncture.
May reduce central puncture risks with peripheral venous right heart catheterization; leaves open confirmation by randomized trials.
Right heart catheterization using peripheral venous access is an approach initially used by pioneers of cardiovascular exploration, but subsequently almost forgotten with the popularization of direct puncture techniques of central veins for diagnostic, monitoring and therapeutic needs. Improved equipment and the recognition of the complications of direct central (femoral) artery puncture resulted in the development of transradial techniques and, subsequently, invasive peripheral venous techniques for right heart catheterization. Case series and comparisons have been published on these newer peripheral venous techniques and the results have been very favorable in support of these newer approaches, although randomized data are not available. Further refinements in equipment and techniques offer the potential for further growth in invasive peripheral venous access.
No takes yet. Share an insight, caveat, or question.
Ian C. Gilchrist (2014) conducted a review in Right heart catheterization. Peripheral venous access for right heart catheterization vs. Direct puncture techniques of central veins was evaluated. Peripheral venous techniques for right heart catheterization have shown favorable results in case series and comparisons, though randomized data are lacking.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: