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Original research
Ultrasound-guided antecubital vein approach for right heart catheterisation in a Brazilian tertiary centre
  1. Felipe Homem Valle1,2,
  2. Rodrigo Vugman Wainstein3,4,
  3. Bruno Silva Matte3,
  4. Sandro Cadaval Gonçalves3,
  5. Luiz Carlos C Bergoli3,
  6. Ana Maria Rocha Krepsky3,
  7. Fernando Pivatto Junior4,
  8. Gustavo Neves de Araujo3,4,
  9. Guilherme Pinheiro Machado4 and
  10. Marco Vugman Wainstein3,4
  1. 1Cardiology, St. Michael’s Hospital, Toronto, Ontario, Canada
  2. 2Cardiology, Mount Sinai Hospital/University Health Network, Toronto, Ontario, Canada
  3. 3Cardiology, Hospital de Clinicas de Porto Alegre, Porto Alegre, Brazil
  4. 4Postgraduate Program in Cardiology and Cardiovascular Sciences, UFRGS, Porto Alegre, Brazil
  1. Correspondence to Dr Felipe Homem Valle; felipe.valle{at}


Objective As a parallel to the radial approach for left heart catheterisation, forearm veins may be considered for the performance of right heart catheterisation. However, data regarding the application of this technique under ultrasound guidance are scarce. The current study aims to demonstrate the feasibility of right heart catheterisation through ultrasound-guided antecubital venous approach in the highly heterogeneous population usually referred for right heart catheterisation.

Methods Data from consecutive right heart catheterisations performed at an academic centre in Brazil, between January 2016 and March 2017 were prospectively collected.

Results Among 152 performed right heart catheterisations, ultrasound-guided antecubital venous approach was attempted in 127 (84%) cases and it was made feasible in 92.1% of those. Yet, there was no immediate vascular complication with the antecubital venous approach in this prospective series.

Conclusions Ultrasound-guided antecubital venous approach for the performance of right heart catheterisation was feasible in the vast majority of cases in our study, without occurrence of vascular complications.

  • pulmonary arterial hypertension (PAH)
  • pulmonary vascular disease
  • non-coronary intervention
  • imaging and diagnostics

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  • Correction notice This article has been updated since first published to correct a spelling error in the title.

  • Contributors FHV, RVW and MVW planned the study. FHV, RVW, BSM and MVW conducted the study procedures. FHV, FPJ and GNdA performed the statistical analysis. FHV wrote the manuscript draft, which has been approved by all the authors.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Not required.

  • Ethics approval The local institutional Research Ethics Board has approved the study protocol.

  • Provenance and peer review Not commissioned; externally peer reviewed.

  • Data availability statement Data obtained for this study are available on reasonable request.

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