Assuntos
Artéria Femoral/lesões , Técnicas Hemostáticas/efeitos adversos , Angioplastia Coronária com Balão , Análise Custo-Benefício , Hemorragia/etiologia , Humanos , Complexo Glicoproteico GPIIb-IIIa de Plaquetas/antagonistas & inibidores , Pressão/efeitos adversos , Técnicas de Sutura/efeitos adversosRESUMO
Focal ectasia of the right coronary artery developed following percutaneous transluminal angioplasty. Operative intervention was not deemed necessary. No restenosis was found on repeat coronary angiography. Five-yr follow-up was associated with a benign course.
Assuntos
Angioplastia Coronária com Balão/efeitos adversos , Vasos Coronários/lesões , Aneurisma Coronário/diagnóstico por imagem , Aneurisma Coronário/etiologia , Angiografia Coronária , Doença das Coronárias/terapia , Feminino , Humanos , Pessoa de Meia-IdadeRESUMO
One hundred twenty patients aged fifty years and over underwent screening by ultrasound for abdominal aortic aneurysms as part of their routine follow-up visit to a cardiologist. The overall incidence of aneurysm greater than or equal to 4 centimeters in diameter was 5%. In the 84 men with aortas less than 4 centimeters, the average aorta size was 2.4 centimeters. In the 30 women with aortas less than 4 centimeters, the average aorta size was significantly smaller, 1.9 centimeters (p less than .001). It was discovered that men who smoke and have hypertension have a statistically significant increase in aorta size compared to those men without these risk factors (less than .05). The results indicate that the incidence of abdominal aortic aneurysm is probably high enough in this population to justify screening by ultrasound.
Assuntos
Aneurisma Aórtico/epidemiologia , Idoso , Aorta Abdominal , Aneurisma Aórtico/diagnóstico , Feminino , Humanos , Hipertensão/complicações , Masculino , Pessoa de Meia-Idade , Risco , Fumar , UltrassonografiaRESUMO
This study compared hand-held arterial compression with compression by a mechanical clamp to achieve hemostasis following transfemoral catheterization in 3,255 patients from six different hospitals. The time spent in manual compression of the artery averaged 33.5 minutes compared with 19.9 minutes using the clamp. The incidence of hematoma formation using the manual method was 6%; it was 2% using the mechanical device. No ischemic symptoms or complications resulted from the use of the holding device. The results suggest that the mechanical method is an effective and time-saving alternative to manual compression for control of bleeding after transfemoral catheterization.
