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Patent hemostasis of radial artery:Comparison of two methods

World Journal of Cardiology 2021年第10期13卷 574-584页

作者： Vassileios Kyriakopoulos Andrew Xanthopoulos Michail Papamichalis Spyridon Skoularigkis Chara Tzavara emmanouil papadakis Sotirios Patsilinakos Filippos Triposkiadis John Skoularigis Department of Cardiology Konstantopoulio General HospitalAthens 14233Greece Department of Cardiology University Hospital of LarissaLarissa 41110Greece Department of Health Medical SchoolUniversity of AthensAthens 11527Greece

BACKGROUND Radial artery obstruction is the most common complication of coronary angiography performed via transradial *** hemostasis can significantly reduce the risk of radial artery *** studies utilized sophisticated methods to evaluate radial artery *** and easily applicable methods for successful patent hemostasis are currently *** To determine which method(pulse oximeter vs the traditional radial artery palpation)is better to achieve patent *** This prospective,single center study included 299 consecutive patients who underwent coronary angiography or percutaneous coronary intervention between November 2017 and July *** less than 18 years old,with a history of radial artery disease,or no palpable artery pulse were excluded from the *** were randomly assigned to two *** the first group,radial artery flow was assessed by palpation of the artery during hemostasis(traditional method).In the second group,radial artery patency was estimated with the use of a pulse *** different compression devices were used for hemostasis(air chamber and pressure valve).The primary study endpoint was the achievement of successful patent *** The two groups(pulse oximeter vs artery palpation)had no significant differences in age,sex,body mass index,risk factors,or comorbidities except for supraventricular *** percentage of patients with successful patent hemostasis was significantly higher in the pulse oximeter group(82.2%vs 68.1%,P=0.005).A lower percentage of patients with spasm was recorded in the pulse oximeter group(9.9%vs 19.0%,P=0.024).The incidence of local complications,edema,bleeding,hematoma,vagotonia,or pain did not differ between the two *** the multivariate analysis,the use of a pulse oximeter(OR:2.35,95%CI:1.34-4.13,P=0.003)and advanced age(OR:1.04,95%CI:1.01-1.07,P=0.006),were independently associated with an increased probability of succe

关键词： Radial access Patent hemostasis Palpation Oximeter Coronary angiography Radial artery occlusion

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