Intervençöes coronarias através da artéria radial / Transradial approach for coronary interventions
Arq. bras. cardiol
;
76(5): 369-378, May 2001. graf
Article
in Portuguese, English
| LILACS
| ID: lil-288788
ABSTRACT
OBJECTIVE:
To assess the feasibility and safety of coronary interventions performed through the radial artery.METHODS:
We studied 103 patients with ages from 38 to 86 years (57 + or -8.7), 90 (87 percent) males, and radial pulse with a good amplitude, presence of ulnar pulse, a good collateral flow through the palmar arch assessed with the Allen's test.RESULTS:
The vascular approach was obtained in 97 (94 percent) patients, 88 (91 percent) treated electively and 9 (9 percent) during acute myocardial infarction, for primary angioplasty; 56 (64 percent) unstable angina; 22 (25 percent) stable angina; 10 (11 percent) were asymptomatic, 6 referred for recanalization of chronic occlusion and 4 silent ischemia in the first week after acute myocardial infarction. We approached 107 arteries anterior descending artery, 49 (46 percent); right coronary artery, 27 (25 percent); circumflex artery, 25 (23 percent); diagonal artery, 6 (6 percent); and 2 saphenous vein bypass grafts. We treated 129 lesions 80 (62 percent) B2 type; 23 (18 percent) B1 type; 17 (13 percent) C type; and 9 (7 percent). A type. There were 70 stents , and 59 balloon angioplasties performed. Thirty-two (33 percent) patients used GP IIb/IIIa inhibitors. The mean duration of the elective procedure was 42.3Ý12.8 min. Success, correct stent deployment and residual lesion <20 percent, was reached in 100 percent of the lesions treated with stent implantation; arterial dilation with residual lesion <50 percent was obtained in 96 percent of the lesions treated with transluminal coronary angioplasty (TCA). Complications, were 1 (1.0 percent) non-Q-wave acute myocardial infarction; 2 (2 percent) hematomas in the forearm; and 2 losses of radial pulse.CONCLUSION:
Radial artery aproach is practical and safe for percutaneous coronary interventions there was a low incidence of complications
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Angioplasty, Balloon, Coronary
/
Radial Artery
/
Angioplasty, Balloon
/
Coronary Disease
Type of study:
Observational study
/
Risk factors
Limits:
Adult
/
Aged80
/
Female
/
Humans
/
Male
Language:
English
/
Portuguese
Journal:
Arq. bras. cardiol
Journal subject:
Cardiology
Year:
2001
Type:
Article
Similar
MEDLINE
...
LILACS
LIS