| Cerebral microembolism during coronary angiography: a randomized comparison between femoral and radial arterial access. | |
| | |
MedLine Citation:
|
PMID: 21393589 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
|
BACKGROUND AND PURPOSE: Microemboli observed during coronary angiography can cause silent ischemic cerebral lesions. The aim of this study was to investigate if the number of particulate cerebral microemboli during coronary angiography is influenced by access site used. METHODS: Fifty-one patients with stable angina pectoris referred for coronary angiography were randomized to right radial or right femoral arterial access. The number of particulate microemboli passing the middle cerebral arteries was continuously registered with transcranial Doppler. RESULTS: The median (minimum-maximum range) numbers of particulate emboli were significantly higher with radial 10 (1-120) than with femoral 6 (1-19) access. More particulate microemboli passed the right middle cerebral artery with the radial access. CONCLUSIONS: This study indicates that the radial access used for coronary angiography generates more particulate cerebral microemboli than the femoral access and thus may influence the occurrence of silent cerebral injuries. |
| | |
Authors:
|
Juliane Jurga; Jesper Nyman; Per Tornvall; Maria Nastase Mannila; Peter Svenarud; Jan van der Linden; Nondita Sarkar |
Related Documents
:
|
21320709 - Prognostic implications of pulmonary hypertension in patients with severe aortic stenosis. 21234199 - A case of symptomatic double coronary artery-pulmonary artery fistulae. 9481579 - The effect of progestagens on the carotid artery pulsatility index in postmenopausal wo... 15343599 - Clinical significance of uterine artery blood flow velocity waveforms during provoked u... 21183749 - Discriminating carotid atherosclerotic lesion severity by luminal stenosis and plaque b... 325449 - The development of the placental lobular pattern in the human. review and reinterpretat... 16754149 - Treatment of innominate arterial stenosis with self-expanding stent: long-term follow-up. 16099689 - Mr imaging-guided percutaneous tumor ablation. 21320709 - Prognostic implications of pulmonary hypertension in patients with severe aortic stenosis. |
Publication Detail:
|
Type: Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't Date: 2011-03-10 |
Journal Detail:
|
Title: Stroke; a journal of cerebral circulation Volume: 42 ISSN: 1524-4628 ISO Abbreviation: Stroke Publication Date: 2011 May |
Date Detail:
|
Created Date: 2011-04-26 Completed Date: 2011-06-30 Revised Date: 2011-09-09 |
Medline Journal Info:
|
Nlm Unique ID: 0235266 Medline TA: Stroke Country: United States |
Other Details:
|
Languages: eng Pagination: 1475-7 Citation Subset: IM |
Affiliation:
|
Cardiology Unit, Department of Medicine, Karolinska University Hospital, Solna, N3:05, SE 171 76 Stockholm, Sweden. juliane.jurga@karolinska.se |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
Aged Angina Pectoris / radiography Coronary Angiography / adverse effects* Female Femoral Artery* Humans Intracranial Embolism / epidemiology* Male Middle Aged Prevalence Radial Artery* Retrospective Studies Risk Factors |
| Comments/Corrections | |
Comment In:
|
Stroke. 2011 Aug;42(8):e418; author reply e419
[PMID:
21737810
]
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Knowledge of Ischemic Stroke Risk Factors and Warning Signs After a Health Education Program by Medi...
Next Document: Coffee Consumption and Risk of Stroke in Women.