The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.
Ognerubov D.V.
National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia
Provatorov S.I.
National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia
Merkulov E.V.
National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia
Tereshchenko A.S.
National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia
Arutyunyan G.K.
National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia
Pogorelova O.A.
National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia
Tripoten’ M.I.
National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia
Balakhonova T.V.
Rossiĭskiĭ kardiologicheskiĭ nauchno-proizvodstvennyĭ kompleks Minzdravsotsrazvitiia RF, Moskva
Samko A.N.
Russian Cardiology Research and Production Complex of the Ministry of Healthcare, Moscow, Russian Federation
Comparison of the complications rate in short time and traditional hemostasis after transluminal balloon coronary angioplasty via transradial access
Journal: Russian Cardiology Bulletin. 2018;13(3): 21‑25
Views: 1914
Downloaded: 28
To cite this article:
Ognerubov DV, Provatorov SI, Merkulov EV, et al. . Comparison of the complications rate in short time and traditional hemostasis after transluminal balloon coronary angioplasty via transradial access. Russian Cardiology Bulletin.
2018;13(3):21‑25. (In Russ.)
https://doi.org/10.17116/Cardiobulletin20181303121
Radial artery occlusion (RAO) is infrequent, and usually asymptomatic complication of transradial PCI, which limits future utility of the radial access. Objective: The objective of this study was to compare the frequency of radial artery occlusion after percutaneous coronary intervention (PCI) via transradial access in patients with short duration (4 h) and long duration (24 h) hemostasis. Bandage compression at the puncture site was used. Material and methods. The study included 400 patients (age 61.5±9.4 years, 78% men) who underwent transradial PCI from 2015 to 2017 years. Patients were divided in two groups: in group I (n=200) the compression bandage was applied to the puncture site for 24 hours, followed by a check of the patency of the radial artery; in group II (n=200) the compression bandage was applied for 4 hours followed by pulse oximetry control of radial artery patency when elbow artery was clamped (reverse Barbaeu’s test). Compression of the ipsilateral ulnar artery was performed within 1 hour for the patient with RAO. Results. 19 (9.5%) patients in group I had RAO. After ipsilateral ulnar artery compression, patency of the arteries wasn’t restored. In group II 11 (5.5%) patients had RAO. Compression of ipsilateral ulnar artery within an hour led to restoration of blood flow in 4 patients. 7 (3.5%) patients from group II had persistent RAO (p=0.015). There were no differences in the rate of access complications. Conclusion. Short duration hemostasis after PCI via radial access reduces the rate of RAO. Compression of ipsilateral ulnar artery allows to recanalize of occlusion in some patients after short duration hemostasis.
Keywords:
Authors:
Ognerubov D.V.
National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia
Provatorov S.I.
National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia
Merkulov E.V.
National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia
Tereshchenko A.S.
National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia
Arutyunyan G.K.
National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia
Pogorelova O.A.
National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia
Tripoten’ M.I.
National Medical Research Center of Cardiology, Ministry of Health of Russia, Moscow, Russia
Balakhonova T.V.
Rossiĭskiĭ kardiologicheskiĭ nauchno-proizvodstvennyĭ kompleks Minzdravsotsrazvitiia RF, Moskva
Samko A.N.
Russian Cardiology Research and Production Complex of the Ministry of Healthcare, Moscow, Russian Federation
List of references:
Close metadata
Email Confirmation
An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.
Email Confirmation
Log in to the site using your account in one of the services
We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.