| The safety and feasibility of transradial cutting balloon angioplasty: immediate results, benefits, and limitations. | |
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MedLine Citation:
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PMID: 12622437 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Cutting balloon angioplasty can reduce the restenosis rate more than conventional balloon angioplasty, but is traditionally performed through a femoral artery. However, it is not clear how useful a transradial approach would be for cutting balloon angioplasty. This study was conducted to examine the safety, feasibility, and limitations of transradial as opposed to transfemoral cutting balloon angioplasty. From November 1999 to August 2001, 177 patients underwent cutting balloon coronary angioplasty. We compared the success rate, angiographic results, and complication rates of two groups of patients, those undergoing transradial (168 lesions from 153 patients) and those undergoing transfemoral (24 lesions from 24 patients) cutting balloon angioplasty. In both groups of patients who had similar clinical and target lesion characteristics. the percentage of lesions that required balloon predilation (27.4% vs 29.2%). stenting (7.7% vs 4.2%), and adjunct balloon dilation (28.0% vs 33.3%) due to dissection (35.7% vs 33.3%) or suboptimal results were comparable. Both approaches achieved a 100% primary success rate with similar acute gain (2.02 +/- 0.68 mm vs 1.94 +/- 0.70 mm), residual (luminal) diameter stenosis (19.2 +/- 11.7% vs 17.0 +/- 12.7%). proportion of lesions that achieved TIMI 3 flow (98.8% vs 100%), and clinical success rate (98.8% vs 95.8%). However, patients undergoing transradial cutting balloon angioplasty had earlier ambulation and a significantly shorter hospital stay than those undergoing a transfemoral approach (2.80 +/- 2.67 days vs 4.75 +/- 5.44 days, P = 0.005). We conclude that the transradial approach is a feasible and safe alternative to the transfemoral approach for cutting balloon angioplasty. In addition, it offers patients early ambulation and a short hospital stay. |
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Authors:
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Cheng-Hsu Yang; G Bih-Fang Guo; Hsueh-Wen Chang; Hon-Kan Yip; Kelvin Hsieh; Chi-Yung Fang; Chien-Jen Chen; Wei-Ching Hung; Chi-Ling Hang; Chiung-Jen Wu |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Japanese heart journal Volume: 44 ISSN: 0021-4868 ISO Abbreviation: Jpn Heart J Publication Date: 2003 Jan |
Date Detail:
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Created Date: 2003-03-07 Completed Date: 2003-03-18 Revised Date: 2006-11-15 |
Medline Journal Info:
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Nlm Unique ID: 0401175 Medline TA: Jpn Heart J Country: Japan |
Other Details:
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Languages: eng Pagination: 51-60 Citation Subset: IM |
Affiliation:
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Division of Cardiology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital, Niao-Sung Hsiang, Kaohsiung Hsien, Taiwan. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged Angioplasty, Transluminal, Percutaneous Coronary / methods* Catheterization Coronary Disease / therapy* Feasibility Studies Female Humans Male Middle Aged Radial Artery Treatment Outcome |
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