
Jianhua Fan
Kunshan Hospital of Traditional Chinese Medicine, ChinaTitle: Comparison of Clinical Value between Right Distal Radial Artery Access and Right Radial Artery Access in Patients Undergoing Coronary Angiography or Percutaneous Coronary Intervention
Abstract
Backgroud: To compare the feasibility and safety
between right distal radial artery access and right radial
artery access in patients undergoing coronary angiography(CAG) or percutaneous
coronary intervention(PCI).
Methods: On the basis of arterial access,113 patients
who underwent CAG or PCI were divided into two groups of right distal radial
artery group(52 cases) and right radial artery group(61 cases) in the Kunshan Hospital of
Traditional Chinese Medicine between January and October 2018.We collected general information,number of
puncture attempts,access times,postoperative compression time and
complications.
Results:General characteristics, successful rate of radial artery puncture and
catheter placement in two groups are no differences.Right radial artery group
had some advantages in number of puncture attempts [?1.26±0.44? times vs?2.19±0.53) times,P?0.01] and access time[?3.23±0.86?min vs?4.77±1.49?min,P?0.01] compared to right distal radial artery
group. But postoperative compression time in right distal radial artery group
were shorter [?3.44±0.92?h vs?7.16±1.21?h,P?0.01].2 cases of bleeding,4 cases of hematoma
and 1 case of artery occlusion in right radial artery group and 1 case of
hematoma in right distal artery group were collected prior to discharge.Total
complications in right distal radial artery group were lower than those in
right radial artery group(1.93% vs 11.48%,P=0.048).
Conclusion:
CAG or PCI through
right distal radial artery is feasible and safe.
Biography
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