Document Detail


Effectiveness of enoxaparin for prevention of radial artery occlusion after transradial cardiac catheterization.
MedLine Citation:
PMID:  19479198     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study was to assess the efficacy of enoxaparin for prevention of radial artery (RA) occlusion after transradial access for diagnostic and interventional cardiac procedures. RA occlusion is a potential complication of transradial cardiac catheterization. Conventionally, unfractionated heparin is used for prevention of RA occlusion. Effectiveness of low molecular weight heparins for prevention of this complication has not been tested before. Fifty transradial catheterizations were performed for diagnostic and/or interventional cardiac procedures in 39 patients. All the patients received 60 mg enoxaparin through the radial sheath at the beginning of the procedure for prevention of RA occlusion. RA patency was evaluated by Doppler examination. Patients were assessed for postprocedural RA occlusion at discharge and 5.5 +/- 2.8 days follow-up. RA occlusion was detected after 2 of the 50 transradial accesses, yielding a RA occlusion rate of % 4. In this study we found a low rate of RA occlusion with use of enoxaparin during transradial access. Enoxaparin is safe and effective in transradial procedures with a RA occlusion rate comparable to use of unfractionated heparin.
Authors:
Hasan Feray; Cemil Izgi; Diler Cetiner; Ebubekir Emre Men; Yelda Saltan; Ayhan Baltay; Reyhan Kahraman
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Publication Detail:
Type:  Comparative Study; Journal Article    
Journal Detail:
Title:  Journal of thrombosis and thrombolysis     Volume:  29     ISSN:  1573-742X     ISO Abbreviation:  J. Thromb. Thrombolysis     Publication Date:  2010 Apr 
Date Detail:
Created Date:  2010-03-12     Completed Date:  2010-10-26     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9502018     Medline TA:  J Thromb Thrombolysis     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  322-5     Citation Subset:  IM    
Affiliation:
Department of Cardiology, Gaziosmanpasa Hospital, Istanbul, Turkey.
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MeSH Terms
Descriptor/Qualifier:
Arterial Occlusive Diseases / diagnosis*,  pathology,  prevention & control*
Enoxaparin / administration & dosage*
Female
Follow-Up Studies
Heart Catheterization* / methods
Humans
Injections, Intra-Arterial
Male
Middle Aged
Radial Artery / drug effects*,  pathology
Treatment Outcome
Chemical
Reg. No./Substance:
0/Enoxaparin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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