TCT-810 NOVEL DISTAL TRANSRADIAL APPROACH FOR CORONARY AND PERIPHERAL INTERVENTIONS

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Transradial approach for coronary interventions.

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+/-8.7), 90 (87%) 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...

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Transradial approach for percutaneous coronary interventions on chronic total occlusions

The transfemoral approach is the standard approach for performing chronic total occlusion procedures. However, hemorrhagic and vascular entry site complications are known to be reduced by the adoption of the transradial approach. Thus, the transradial approach is gaining interest and, facilitated by the improvement of materials and techniques, will be applied in procedures previously considered...

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Transradial Approach as a Default Route in Coronary Artery Interventions

Advances in percutaneous coronary intervention (PCI) and peri-procedural potent antithrombotic treatments during the past decade have dramatically improved the outcomes of ischemic heart disease. The femoral artery is the vascular route used in PCI in most catheterization labs. However, when the femoral artery is used as the approaching vessel, local hemorrhagic complication is not rare in the ...

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Risk score, causes, and clinical impact of failure of transradial approach for percutaneous coronary interventions.

OBJECTIVES To study the causes of and to develop a risk score for failure of transradial approach (TRA) for percutaneous coronary intervention (PCI). BACKGROUND TRA-PCI failure has been reported in 5% to 10% of cases. METHODS TRA-PCI failure was categorized as primary (clinical reasons) or crossover failure. Multivariate analysis was performed to determine independent predictors of TRA-PCI ...

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ژورنال

عنوان ژورنال: Journal of the American College of Cardiology

سال: 2018

ISSN: 0735-1097

DOI: 10.1016/j.jacc.2018.08.2046