Short sheath benefit in radial artery injury after PCI - optical coherence tomography serial study
| Autor: | Martin Poloczek, Petr Jerabek, Jindrich Spinar, Tereza Nováková, Petr Kala, Jiri Jarkovsky, Klára Benešová, Otakar Boček, Tomas Ondrus, Jan Kanovsky, Roman Miklík, Lenka Privarova |
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| Rok vydání: | 2016 |
| Předmět: |
Adult
Male medicine.medical_specialty Percutaneous injury lcsh:Medicine 030204 cardiovascular system & hematology Coronary Angiography Asymptomatic General Biochemistry Genetics and Molecular Biology introducer Transradial catheterization 03 medical and health sciences 0302 clinical medicine Percutaneous Coronary Intervention medicine.artery Medicine Humans 030212 general & internal medicine Myocardial infarction Prospective Studies Radial artery Intraoperative Complications Aged optical coherence tomography business.industry Incidence (epidemiology) lcsh:R Middle Aged medicine.disease 3. Good health Dissection Conventional PCI Radial Artery ST Elevation Myocardial Infarction Female Radiology medicine.symptom business Tomography Optical Coherence |
| Zdroj: | Biomedical Papers, Vol 160, Iss 3, Pp 393-398 (2016) |
| ISSN: | 1804-7521 |
| Popis: | Background and Aims: Transradial catheterization is the predominant access site for coronary catheterization and percutaneous coronary interventions (PCI). Previous studies have reported a high incidence of radial artery (RA) injury. The aim of this investigation was to evaluate the incidence of RA injury using last generation optical coherence tomography (OCT) intravascular imaging in a serial manner. Methods: 100 patients with a diagnosis of non-ST-elevation myocardial infarction (nSTEMI) treated by PCI were enrolled. OCT of RA was performed immediately after the index PCI. OCT was repeated 9 months later. Results: There were 11 patients with RA injuries (11.0%) at baseline, including 3 patients with RA medial dissection and 8 patients with intimal tears. In the follow-up OCT data, the number of RA injuries was 10 (10.0%), including 7 patients with RA medial dissection and 3 patients with intimal tear. All injuries were clinically asymptomatic and there was no finding of vessel perforation. There was no significant difference between the baseline and follow-up procedure in terms of number of injuries. Conclusion: The study showed no significant difference between baseline and follow-up RA injury incidence. There was a higher risk of radial injury for repeated catheterization in women. The conclusion is that radial catheterization is a very safe procedure in terms of radial artery damage. This is evidenced by considerably fewer injuries compared to published studies. The use of the short radial sheath (7 cm in this study) is protective and reduces the incidence of radial injury. |
| Databáze: | OpenAIRE |
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