Managing Radial Access Vascular Complications
نویسندگان
چکیده
A mong patients undergoing diagnostic cardiac catheterization, transradial access leads to improved quality of life after the procedure, is strongly preferred by patients, and reduces hospital costs.1 Transradial coronary angiography and angioplasty is safe, feasible, and effective, with results similar to those of the transfemoral approach.2 Although complications are infrequent, they do occur (see Complications sidebar). It is imperative that physicians using the radial approach are cognizant of the incidence, predisposing factors, and available management strategies for such complications.
منابع مشابه
Identifying patients at risk of vascular access complications
Routine coronary angiography and revascularization in patients with non-ST-segment elevation acute coronary syndromes (NSTEACS) have been shown to be of benefit.1,2 However, these patients are at an increased risk of bleeding due to antiplatelet drugs, anticoagulants and invasive procedures. Major bleeding in patients with NSTEACS has been associated with increased risk of mortality.3-5 Vascula...
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OBJECTIVES The purpose of this study was to determine the efficacy and safety of radial versus femoral access in women undergoing coronary angiography/intervention. BACKGROUND The risk of bleeding and vascular access site complications are higher in women than in men. METHODS In a pre-specified RIVAL (RadIal Vs femorAL access for coronary intervention) subgroup analysis, we compared outcome...
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