Safety and Efficacy of a Truncated Deflation Algorithm for Distal Transradial Access
| Autor: | Anastasia Hadjivassiliou, Stephen G.F. Ho, Darren Klass, David M. Liu, John Chung, Leandro Cardarelli-Leite, Sabeena Jalal |
|---|---|
| Rok vydání: | 2020 |
| Předmět: |
Adult
Male medicine.medical_specialty Time Factors Percutaneous Adolescent Hemorrhage Punctures Anatomical snuffbox 030218 nuclear medicine & medical imaging Young Adult 03 medical and health sciences 0302 clinical medicine Hematoma medicine.artery Catheterization Peripheral Pressure Humans Medicine Radiology Nuclear Medicine and imaging Radial artery Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test Hemostatic Techniques business.industry Retrospective cohort study Equipment Design Middle Aged medicine.disease Intensity (physics) Surgery Treatment Outcome medicine.anatomical_structure 030220 oncology & carcinogenesis Hemostasis Radial Artery Female Cardiology and Cardiovascular Medicine business Algorithms Partial thromboplastin time |
| Zdroj: | Journal of Vascular and Interventional Radiology. 31:1328-1333 |
| ISSN: | 1051-0443 |
| Popis: | Purpose To assess safety and efficacy of a modified rapid hemostasis protocol for distal transradial access (TRA). Materials and Methods A single-center retrospective study of patients undergoing percutaneous image-guided procedures from a distal TRA with rapid deflation hemostasis protocol was performed. Between March 2017 and August 2019, 593 procedures in 434 patients were performed. Mean patient age was 63.5 y (range, 18–94 y). Results The most common procedures were transarterial chemoembolization (218; 36.8%), abdominal and pelvic embolization (116; 19.6%), yttrium-90 mapping (115; 19.4%), yttrium-90 administration (84; 14.2%), and diagnostic angiography (44; 7.4%). Mean (range) values for clotting parameters were international normalized ratio 1.2 (0.9–3.2), partial thromboplastin time 33.5 s (26–44 s), and platelets 23.4 × 109/L (37–552 × 109/L). A hematoma developed in 7 (1.2%) patients. No radial artery occlusions were encountered during follow-up. Nursing intensity was defined as the number of minutes after the procedure required for assessing and managing the access site for bleeding. The mean nursing intensity was 25.1 min (range, 25–40 min). Conclusions The rapid deflation hemostasis protocol for distal TRA at the anatomical snuffbox was feasible and safe. No significant difference or association was found between hematoma formation and clotting parameters after the procedure or type of vascular access equipment used. |
| Databáze: | OpenAIRE |
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