Left distal trans-radial access facilitates earlier discharge post-coronary angiography
| Autor: | John Joseph Coughlan, Samer Arnous, Thomas J. Kiernan, Aiste Zebrauskaite |
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| Rok vydání: | 2018 |
| Předmět: |
Male
Coronary angiography medicine.medical_specialty medicine.medical_treatment Contrast Media 030204 cardiovascular system & hematology Coronary Angiography Radiation Dosage law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law medicine.artery medicine Clinical endpoint Humans Fluoroscopy Radiology Nuclear Medicine and imaging Prospective Studies 030212 general & internal medicine Radial artery Aged Cardiac catheterization medicine.diagnostic_test business.industry Middle Aged Patient Discharge medicine.anatomical_structure Radial Artery Female Radiology Cardiology and Cardiovascular Medicine business Compression time Artery |
| Zdroj: | Journal of Interventional Cardiology. 31:964-968 |
| ISSN: | 0896-4327 |
| Popis: | AIMS In 2017, Kiemeneij published a paper on distal trans-radial artery access for coronary angiography in 62 patients. This paper proposed several advantages to this method. Since this paper was published, several other papers have been published describing this technique, with less than 200 cases in total described. We performed a non randomized control study of left distal trans-radial access in patients undergoing coronary angiography in our center. METHODS We prospectively identified patients presenting for coronary angiography to our center for enrolment in this study. We recruited 94 patients (47 ldTRA, 47 age and sex matched controls). Pre-defined endpoints for the study were as follows: time until radial compression device (RCD) removal, procedural time, radiation dose, fluoroscopy time, and contrast dose. RESULTS Patient and procedural characteristics did not differ significantly between the two groups. With regard to our primary endpoint, patients undergoing ldTRA required, on average, 69 min less time until removal of the RCD (167.8 ± 30 vs 236.6 ± 63.9 min, P |
| Databáze: | OpenAIRE |
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