Emergency Percutaneous Coronary Intervention Through the Left Radial Artery is Associated with Less Vascular Complications than Emergency Percutaneous Coronary Intervention Through the Femoral Artery
نویسندگان
چکیده
OBJECTIVE: To compare the advantages and disadvantages of emergency percutaneous coronary intervention through the left radial artery with those of emergency percutaneous coronary intervention through the femoral artery. METHODS: A total of 206 patients with acute myocardial infarction who required emergency percutaneous coronary intervention and were admitted to our hospital between January 2011 and August 2013 were divided into the following two groups: a group that underwent percutaneous coronary intervention through the left radial artery and a group that underwent percutaneous coronary intervention through the femoral artery. The times required for angiographic catheter and guiding catheter placement, the success rate of the procedure and the incidence of vascular complications in the two groups were observed. RESULTS: There was no significant difference in catheter placement time or the ultimate success rate of the procedure between the two groups. However, the left radial artery group showed a significantly lower incidence of vascular complications than the femoral artery group (p<0.05). CONCLUSION: Emergency percutaneous coronary intervention through the left radial artery is associated with less vascular complications than emergency percutaneous coronary intervention through the femoral artery and is thus potentially advantageous for patients.
منابع مشابه
اثر PercutaneousCoronary Intervention Elective بر بهبودی نارسایی ایسکمیک میترال
Introdution: Ischemic mitral regurgitation (IMR) remains one of the most complex and unresolved aspects of ischemic heart disease that the impact of percutaneous coronary intervention (PCI) on improvement of intensity of ischemic mitral regurgitation is not well clarified. Patients with coronary artery diseases and ischemic mitral regurgitation have a worse prognosis than the patients with coro...
متن کاملRisk factors of access site pain following coronary interventions through upper extremities
Introduction: Coronary artery disease (CAD) is recognized as the major cause of mortality and morbidity worldwide. Coronary artery interventions are considered the best therapeutic choice for most patients. Similar to other invasive procedures, these interventions whether performed from femoral or upper extremities have their own complications. There is a paucity of studies reg...
متن کاملA case of acute intrastent thrombosis accompanied by arterial thrombosis in the lower extremities after percutaneous coronary intervention
Acute coronary stent thrombosis is one of the most serious complications of percutaneous coronary intervention (PCI). The incidence rate of acute stent thrombosis ranges from 0.4% to 0.6% (1). This report describes a case of intrastent thrombosis within 24 hours after coronary artery stent placement, followed by arterial thrombosis in the lower extremity. A male patient, aged 54 years, was admi...
متن کاملCollateral arterial formation in a severed brachial artery causing difficult transradial access during percutaneous transluminal coronary angioplasty.
In this article, we describe about a 49-year-old patient who underwent percutaneous coronary intervention for a non-Q wave myocardial infarction via a transradial approach. The procedure was technically difficult, and the following fluroscopic image was obtained soon after radial arterial puncture (Figure 1). Further questioning revealed that the patient suffered a fall in 1975 while working in...
متن کاملCoronary Artery Bifurcation Lesions; A Review and a Guide for Specific Interventional Techniques
Percutaneous coronary intervention in the setting of coronary bifurcation lesions is associated with increased risk for complications. The goal of this manuscript is to review the currently available classifications for coronary artery bifurcation lesions with a guide to the use of specific coronary bifurcation techniques based on lesion characteristics
متن کامل