Analysis of radial artery occlusion causes and methods of its prevention after interventions using radial access. Results of the APRIORI study

Autor: D. V. Ognerubov, S. I. Provatorov, E. V. Merkulov, A. S. Merkulov, K. I. Kupina, O. A. Pogorelova, M. I. Tripoten, T. V. Balakhonova, D. M. Kairaliev, A. E. Grossman, A. K. Osokina, A. V. Potekhina, A. N. Samko
Jazyk: ruština
Rok vydání: 2022
Předmět:
Zdroj: Российский кардиологический журнал, Vol 26, Iss 12 (2022)
Druh dokumentu: article
ISSN: 1560-4071
2618-7620
DOI: 10.15829/1560-4071-2021-4695
Popis: Aim. To study predictors of radial artery occlusion (RAO) and ways to prevent it after interventions using radial access.Material and methods. The study consisted of prospective and retrospective parts. The total number of included patients was 2284. Patients undergoing interventions by radial access in various medical organizations were retrospectively considered. The prospective study included 1284 patients who were subject to interventional treatment. Patients were randomized into two groups as follows: in group 1, hemostasis was performed within 4 hours, in group 2 — >6 hours. All patients underwent a bedside Barbeau test with a pulse oximeter and an ultrasound of access arteries to determine the radial artery patency/occlusion.Results. The RAO rate in the retrospective part was 21,8%, while in the prospective one — 10,1% with long-term hemostasis and 1,4% with short-term hemostasis (p
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