Transradial Coronary Angiography and Intervention
DOI:
https://doi.org/10.56981/Abstract
Objective: to study transradial (tr) diagnostic coronary angiography and percutaneous coronary intervention (pci) for patients and their complications.
Study design: randomized prospective study.
Setting: sulaimany center for heart disease and harem private hospital.
Patients and methods: the total number of patients in our study was (148) patients who underwent tr coronary angiography & pci, of them (91) males and (57) females. The mean age of patients were (57.46 ± 9.86) years, (126) tr coronary angiography and (58) pci procedures, throughout the period (1-1-2013) to (30-6-2013) with 1 and 3 months follow up.
Results: during the first 2 months (learning period), only twelve tr coronary angiography and two tr pci were done, and in the last month, increased to 47 coronary angiographies and 24 pci.
the percentage of females was more in tr coronary angiography and less for tr pci. With experience, in tr coronary angiography, the contrast volume decreased from (80 ± 6.35) milliliters (ml) to (40 ± 3.75) ml with highly significant p-value (0.001) and ft from (4.40 ± 2.03) minutes (min) to (1.1 ± 0.5) min with highly significant p-value (0.001).
for tr pci, the contrast volume decreased from (160 ± 5.67) ml to (90 ± 1.98) ml with highly significant p-value (0.001) and ft from (19.47 ± 2.89) min to (7.50 ± 0.96) min with highly significant p-value (0.001). after good experience the complications like spasm, hematoma, and ra occlusion
became less, especially at the end of our study.
conclusion: tr coronary angiography and tr pci are feasible and preferable by most of the patients, especially females in our locality, and high success rate with low complications, more comfort, early ambulation, and discharge and lower costs.
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