A prospective randomized comparison of left and right radial approach for percutaneous coronary angiography in Asian populations
| Autor: | Hongyu Hu, Wei Chen, Buxing Chen, Dezhao De-zhao Wang, Qiang Fu, Xu Hua |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2014 |
| Předmět: |
Coronary angiography
Male medicine.medical_specialty Cardiac Catheterization Percutaneous Coronary Artery Disease Coronary Angiography Radiation Dosage Statistics Nonparametric law.invention Randomized controlled trial Asian People law Internal medicine right radial approach medicine Clinical endpoint Fluoroscopy Humans Prospective Studies Stroke Aged Original Research medicine.diagnostic_test business.industry Incidence (epidemiology) General Medicine Middle Aged medicine.disease Surgery Dose area product Clinical Interventions in Aging Radial Artery left radial approach Cardiology Female Geriatrics and Gerontology business |
| Zdroj: | Clinical Interventions in Aging |
| ISSN: | 1178-1998 |
| Popis: | Hongyu Hu, Qiang Fu, Wei Chen, Dezhao Wang, Xu Hua, Buxing Chen Department of Cardiology, Beijing Tiantan Hospital, Capital Medical University, Beijing, People’s Republic of ChinaBackground: The efficacy of coronary angiography may be different in the right radial approach (RRA) and the left radial approach (LRA) due to more common vascular tortuosity in the RRA. The aim of the study was to determine whether LRA is a valid alternative for coronary angiography compared with RRA in Asian populations. Methods: This is a single-center, prospective, randomized controlled study. A total of 1,400consecutive patients undergoing diagnostic coronary angiography were recruited and randomized to the RRA (number [n]=700) or LRA (n=700) group. The primary endpoint was total procedural duration. Secondary endpoints included fluoroscopy time, dose of radiation including cumulative air kerma and dose area product, contrast volume, and the incidence of vascular complications. Results: Coronary procedural success was achieved in 682of 700(97.4%) patients in the RRA and 680of 700(97.1%) in the LRA. The total procedural time (RRA 14.1±6.3minutes versus LRA 13.2±6.0minutes; P=0.006) and fluoroscopy time (RRA 3.8±3.3minutes versus LRA 3.4±2.8minutes; P=0.046) were significantly shorter via LRA in comparison to RRA. The percentage of hydrophilic wire use was also lower in the LRA group (14% [RRA] versus 10% [LRA]; P=0.016). The dose of radiation and contrast volume were not different between the two approaches. No cases of major bleeding and vascular complications requiring surgical intervention were reported, other than with one patient who experienced a symptomatic stroke and died in the RRA group compared with none in the LRA group. Conclusion: The LRA seems to be a feasible alternative for coronary angiography in Asian patients due to shorter procedural duration and fluoroscopy time, as well as less hydrophilic wire use in comparison to RRA. Keywords: left radial approach, right radial approach, coronary angiography |
| Databáze: | OpenAIRE |
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