دورية أكاديمية
Radial compression guided by mean artery pressure versus standard compression with a pneumatic device (RACOMAP).
| العنوان: | Radial compression guided by mean artery pressure versus standard compression with a pneumatic device (RACOMAP). |
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| المؤلفون: | Cubero JM; Cardiology Service, Valme University Hospital, Seville, Spain. josucubero@yahoo.es, Lombardo J, Pedrosa C, Diaz-Bejarano D, Sanchez B, Fernandez V, Gomez C, Vazquez R, Molano FJ, Pastor LF |
| المصدر: | Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions [Catheter Cardiovasc Interv] 2009 Mar 01; Vol. 73 (4), pp. 467-72. |
| نوع المنشور: | Comparative Study; Journal Article; Randomized Controlled Trial |
| اللغة: | English |
| بيانات الدورية: | Publisher: Wiley-Liss Country of Publication: United States NLM ID: 100884139 Publication Model: Print Cited Medium: Internet ISSN: 1522-726X (Electronic) Linking ISSN: 15221946 NLM ISO Abbreviation: Catheter Cardiovasc Interv Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: New York, NY : Wiley-Liss, c1999- |
| مواضيع طبية MeSH: | Blood Pressure*, Angioplasty, Balloon, Coronary/*adverse effects , Arterial Occlusive Diseases/*prevention & control , Cardiac Catheterization/*adverse effects , Coronary Angiography/*adverse effects , Hemostatic Techniques/*instrumentation , Radial Artery/*physiopathology, Aged ; Angioplasty, Balloon, Coronary/methods ; Arterial Occlusive Diseases/etiology ; Arterial Occlusive Diseases/physiopathology ; Coronary Angiography/methods ; Equipment Design ; Female ; Humans ; Logistic Models ; Male ; Middle Aged ; Oximetry ; Plethysmography ; Pressure ; Prospective Studies ; Regional Blood Flow ; Risk Assessment ; Risk Factors ; Single-Blind Method ; Ultrasonography, Doppler |
| مستخلص: | Background: Transradial access is the approach of choice in many laboratories for diagnostic coronariography or percutaneous coronary interventions (PCI) because of its lower vascular complication rate than the femoral approach. However, this approach has a higher rate (5-10%) of asymptomatic radial artery (RA) occlusion. Methods: We conducted a prospective, controlled, single-centre trial study. We investigated whether the pneumatic compression (using "TR Band of Terumo") of the radial artery guided by the mean artery pressure (MAP) after the procedure (group A) is efficient in reducing radial occlusion in patients under a coronary angiography by transradial access for diagnostic coronariography or PCI compared to use of standard procedure (group B, 15 cm(3) of air in the device). Results: The study was suspended after analyzing the results of 50% of the scheduled patients. An analysis of the results of 351 consecutive random patients in Group A showed significantly (P = 0.0001) lower rate (1.1%) of occlusion than Group B (12.0%) without significant differences in the rate of other complications. Other variables associated with RA occlusion in univariate analysis were previous or active smoker (P < 0.04), absence of anti-aggregant treatment (P < 0.04), and the presence of RA flow postprocedure (PFP, P < 0.001). Independent predictors with logistic regression analysis were PFP (HR = 0.06, 95% CI 0.01-0.2), presence of hematoma (HR = 3.7, 95% CI 1.2-11.0), and standard pneumatic compression in group B patients (HR = 18.8, 95% CI 3.8-92.2). Conclusions: Use of pneumatic compression guided by MAP is safe and efficient, and it can significantly lower the incidence of radial artery occlusion. ((c) 2009 Wiley-Liss, Inc.) |
| التعليقات: | Comment in: Catheter Cardiovasc Interv. 2009 Mar 1;73(4):473-4. (PMID: 19235236) |
| تواريخ الأحداث: | Date Created: 20090221 Date Completed: 20090515 Latest Revision: 20121115 |
| رمز التحديث: | 20240628 |
| DOI: | 10.1002/ccd.21900 |
| PMID: | 19229978 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 1522-726X |
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| DOI: | 10.1002/ccd.21900 |