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Open Radial Artery Study.
Inanc, Ibrahim H; Mutlu, Deniz; Efe, Zeynep N; Kulaksizoglu, Sibel; Marmagkiolis, Kostas; Iliescu, Cezar; Ates, Ismail; Feldman, Marc D; Cilingiroglu, Mehmet.
Afiliación
  • Inanc IH; Department of Cardiology, Kirikkale Yuksek Ihtisas Hospital, Kirikkale, Turkey.
  • Mutlu D; Minneapolis Heart Institute Foundation, Center for Coronary Artery Disease, Minneapolis, MN, USA; Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine, Istanbul, Turkey.
  • Efe ZN; Department of Cardiology, Ronald Reagan University of California Los Angeles Medical Center, Los Angeles, California.
  • Kulaksizoglu S; Department of Medical Biochemistry, Antalya Education and Research Hospital, Antalya, Turkey.
  • Marmagkiolis K; Tampa General Hospital, University of South Florida, Tampa, Florida; Tampa General Hospital, University of South Florida, Tampa, Florida.
  • Iliescu C; MD Anderson Cancer Center, University of Texas in Houston, Houston, Texas.
  • Ates I; Department of Cardiology, Sisli Kolan International Hospital, Istanbul, Turkey.
  • Feldman MD; Department of Cardiology, University of Texas Health San Antonio, San Antonio, Texas.
  • Cilingiroglu M; MD Anderson Cancer Center, University of Texas in Houston, Houston, Texas; Department of Cardiology, University of Texas Health San Antonio, San Antonio, Texas. Electronic address: cilingiroglumehmet@gmail.com.
Am J Cardiol ; 211: 130-136, 2024 Jan 15.
Article en En | MEDLINE | ID: mdl-38035500
Radial artery occlusion (RAO) has been the most common postprocedural complication of transradial artery access. The optimal method of prevention of RAO is still lacking. In our study, we aimed to evaluate the effect of patent hemostasis on early (24 hours) and late (2 weeks) RAO prevention. The Open Radial Artery Study was a single-arm, prospective, and multicenter study. The primary end points were early and late RAO at the vascular access site after transradial coronary procedures. Secondary end points were access site hematoma, pseudoaneurysm formation, arteriovenous fistula, and nerve injury. A total of 2,181 patients were analyzed (67% male, mean age 68 years). The mean interventional duration and hemostatic times were 75.6 ± 55.6 and 60 ± 5.6 minutes, respectively. Radial artery spasm occurred in 10% of patients (n = 218). Catheter kinking, radial artery rupture, or dissection were not observed during the procedure. RAO, hematoma, pseudoaneurysm, arteriovenous fistula, or nerve damage was not observed in any of the patients in the early or late period. In patients who undergo coronary diagnostic or interventional procedures through transradial artery access, the patent hemostasis method seems a critical step in the prevention of early and late RAO.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Arteriopatías Oclusivas / Fístula Arteriovenosa / Aneurisma Falso Límite: Aged / Female / Humans / Male Idioma: En Revista: Am J Cardiol Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Estados Unidos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Arteriopatías Oclusivas / Fístula Arteriovenosa / Aneurisma Falso Límite: Aged / Female / Humans / Male Idioma: En Revista: Am J Cardiol Año: 2024 Tipo del documento: Article País de afiliación: Turquía Pais de publicación: Estados Unidos