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Evaluation of Peripheral Vascular Function After Distal Radial Artery Access for Invasive Percutaneous Coronary Procedures

Claudiu Ungureanu
Claudiu Ungureanu
, 
Silviu Dumitrascu
Silviu Dumitrascu
, 
Giuseppe Colletti
Giuseppe Colletti
, 
Marc Blaimont
Marc Blaimont
, 
Manuel Mignon
Manuel Mignon
 und 
Philippe van de Borne
Philippe van de Borne
   | 18. März 2023
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Article Category: Original Article
Online veröffentlicht: 18. März 2023
Seitenbereich: 14 - 18
DOI: https://doi.org/10.2478/rjc-2022-0028
Schlüsselwörter
© 2023 Claudiu Ungureanu et al., published by Sciendo
This work is licensed under the Creative Commons Attribution 4.0 International License.

Procedural and angiographic characteristics

Proximal Radial Access Distal Radial Access
Nr of patients 25 (50%) 25 (50%)
PCI 10 (20%) 13 (26%)
Diagnostic Catheterization 15 (30%) 12 (24%)
Procedural time, (min) 24,5 ± 19,9 26,7 ± 11,6 min
Contrast amount, (ml) 180 ± 89 177 ± 68
Left side access 2 (4%) 1 (2%)
Introducers and Catheters
5Fr Introducer (n) Per group 16 (32%) 18 (36%)
6Fr Introducer (n) 16 (32%) 0 (0%)
5Fr Catheter (n) 11 (22%) 10 (20%)
Therapeutic guide catheters used, (n)
6Fr Catheter (n) 12 (24%) 14 (28%)
7Fr Catheter (n) 0 (0%) 3 (6%)
Sheathless procedures (n) 0 (0%) 13 (26%)
Railway Dilator used (n) 1 (2%) 12 (24%)
6Fr Railway Dilator (n) 1 (2%) 9 (18%)
7Fr Railway Dilator (n) 0 (0%) 3 (6%)

Clinical Outcomes at 30 days

Clinical Outcomes at 24 hours Proximal Radial Access Distal Radial Access
Radial occlusion 0 (0%) 0 (0%)
Major access site complication 0 (0%) 0 (0%)
Haematoma ≥ 2 cm 2 (4%) 1 (2%)
In-hospital major bleeding 0 (0%) 0 (0%)
Procedural pain score 2,8 ± 2,9 3,1 ± 2,1
Cross over to other access site 0 (0%) 0 (0%)
Severe radial artery spasm 0 (0%) 0 (0%)

Baseline Characteristics

Baseline Characteristics Proximal Radial Artery Access Distal Radial Artery Access
Number of Patients 25 (50%) 25 (50%)
Age (years) 64,74 ± 10,3 65,14 ± 8,3
Males 13 (26%) 15 (30%)
BMI (kg/m2) 28,7 ± 5,5 29,3 ± 4,8
Diabetes 6 (12%) 5 (10%)
Hypercholesterolemia 24 (48%) 19 (38%)
Triglycerides (mg/dl) 227 ± 112 217 ± 98
Total cholesterol (mg/dl) 190 ± 52 183 ± 45
HDL cholesterol (mg/dl) 56 ± 29 54 ± 25
LDL cholesterol (mg/dl) 135 ± 29 141 ± 22
Hematocrit (%) 44 ± 3 47 ± 4
Hypertension 16 (32%) 20 (40%)
Chronic kidney disease (CrCl < 60 ml/min/m2) 2 (4%) 3 (6%)
Acute coronary syndrome 4 (8%) 7 (14%)
Congestive heart failure 3 (6%) 1 (2%)
Tobacco abuse 6 (12%) 2 (4%)
Previous Stroke 1 (2%) 1 (2%)
Peripheral Arterial Disease 1 (2%) 1 (2%)
Prior PCI 12 (24%) 13 (26%)
Prior CABG 2 (4%) 1 (2%)
EF < 50 % 3 (6%) 1 (2%)
Medications
Aspirine (%) 15 (30%) 22 (44%)
Clopidogrel (%) 9 (18%) 7 (14%)
Beta Blockers (%) 14 (28%) 11 (22%)
Nitrates (%) 8 (16%) 5 (10%)
Statins (%) 21 (42%) 17 (34%)
ACE inhibitors (%) 8 (16%) 12 (24%)
Calcium-channel blockers (%) 8 (16%) 3 (6%)
SBP, mmHg 134,4 ± 19,6 144,4 ± 18,6
DBP, mmHg 77,3 ± 11,7 76,4 ± 10,7
HR, bpm 75,0 ± 13,9 74,1 ± 12,9
eISSN:
2734-6382
Sprache:
Englisch
Zeitrahmen der Veröffentlichung:
4 Hefte pro Jahr
Fachgebiete der Zeitschrift:
Medizin, Klinische Medizin, Allgemeinmedizin, Innere Medizin, Kardiologie, Chirurgie, Herzchirurgie, Kinder- und Jugendmedizin, Kinderkardiologie
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