| Transradial approach for coronary interventions. | |
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MedLine Citation:
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PMID: 11359185 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVE: To assess the feasibility and safety of coronary interventions performed through the radial artery. METHODS: We studied 103 patients with ages from 38 to 86 years (57+/-8.7), 90 (87%) males, and: radial pulse with a good amplitude, presence of ulnar pulse, a good collateral flow through the palmar arch assessed with the Allen's test. RESULTS: The vascular approach was obtained in 97 (94%) patients, 88 (91%) treated electively and 9 (9%) during acute myocardial infarction, for primary angioplasty; 56 (64%) unstable angina; 22 (25%) stable angina; 10 (11%) were asymptomatic, 6 referred for recanalization of chronic occlusion and 4 silent ischemia in the first week after acute myocardial infarction. We approached 107 arteries: anterior descending artery, 49 (46%); right coronary artery, 27 (25%); circumflex artery, 25 (23%); diagonal artery, 6 (6%); and 2 saphenous vein bypass grafts. We treated 129 lesions: 80 (62%) B2 type; 23 (18%) B1 type; 17 (13%) C type; and 9 (7%). A type. There were 70 stents, and 59 balloon angioplasties performed. Thirty-two (33%) patients used GP IIb/IIIa inhibitors. The mean duration of the elective procedure was 42.3+/-12.8 min. Success, correct stent deployment and residual lesion <20%, was reached in 100% of the lesions treated with stent implantation; arterial dilation with residual lesion <50% was obtained in 96% of the lesions treated with transluminal coronary angioplasty (TCA). Complications, were: 1 (1.0%) non-Q-wave acute myocardial infarction; 2 (2%) hematomas in the forearm; and 2 losses of radial pulse. CONCLUSION: Radial artery approach is practical and safe for percutaneous coronary interventions there was a low incidence of complications. |
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Authors:
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J C Brito; A Azevedo; A Oliveira; R Von Sohsten; A Santos Filho; H Carvalho |
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Publication Detail:
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Type: Evaluation Studies; Journal Article |
Journal Detail:
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Title: Arquivos brasileiros de cardiologia Volume: 76 ISSN: 0066-782X ISO Abbreviation: Arq. Bras. Cardiol. Publication Date: 2001 May |
Date Detail:
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Created Date: 2001-05-18 Completed Date: 2001-08-30 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0421031 Medline TA: Arq Bras Cardiol Country: Brazil |
Other Details:
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Languages: eng Pagination: 369-78 Citation Subset: IM |
Affiliation:
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Rua Wanderley de Pinho 305/302 - 41841-300, Salvador, BA Brazil. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Angioplasty, Balloon / methods* Coronary Disease / therapy* Feasibility Studies Female Humans Male Middle Aged Prospective Studies Radial Artery* |
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