دورية أكاديمية
Outcomes of a Modified Technique for Deflation of Distal Radial Artery Occlusion Device on Radial Artery Patency After Percutaneous Coronary Intervention.
| العنوان: | Outcomes of a Modified Technique for Deflation of Distal Radial Artery Occlusion Device on Radial Artery Patency After Percutaneous Coronary Intervention. |
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| المؤلفون: | Habib A; Department of Cardiology, DHQ Hospital Nowshera, Nowshera, Pakistan., Raj S; Department of Medicine, Jinnah Sindh Medical University, Karachi, Pakistan., Pahwani R; Department of Medicine, Jinnah Sindh Medical University, Karachi, Pakistan., Ullah A; Department of Cardiology, KMU Institute of Medical Sciences, Kohat, Pakistan., Umer B; Department of Interventional Cardiology, Armed Forces Institute of Cardiology, Rawalpindi, Pakistan., Khalid F; Department of Interventional Cardiology, Armed Forces Institute of Cardiology, Rawalpindi, Pakistan., Naeem H; Department of Cardiology, Basharat Hospital, Rawalpindi, Pakistan., Jawad Zaidi SM; Department of Cardiovascular Medicine, Cardiovascular Analytics Group, Rawalpindi, Pakistan., Basit J; Department of Cardiovascular Medicine, Cardiovascular Analytics Group, Rawalpindi, Pakistan., Mehmoodi A; Department of Medicine, Ibn e Seena Hospital, Kabul, Pakistan., Malik J; Department of Cardiovascular Medicine, Cardiovascular Analytics Group, Rawalpindi, Pakistan. |
| المصدر: | Journal of community hospital internal medicine perspectives [J Community Hosp Intern Med Perspect] 2023 Sep 02; Vol. 13 (5), pp. 39-43. Date of Electronic Publication: 2023 Sep 02 (Print Publication: 2023). |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: Greater Baltimore Medical Center Country of Publication: United States NLM ID: 101601396 Publication Model: eCollection Cited Medium: Print ISSN: 2000-9666 (Print) Linking ISSN: 20009666 NLM ISO Abbreviation: J Community Hosp Intern Med Perspect Subsets: PubMed not MEDLINE |
| أسماء مطبوعة: | Publication: 2022- : Baltimore : Greater Baltimore Medical Center Original Publication: Sweden : Co-Action Publ. |
| مستخلص: | Objective: This study aimed to compare two protocols of deflation with increased intervals versus late deflation with smaller intervals for distal radial artery occlusion device (DROAD) removal to assess for radial artery occlusion (RAO). Methods: All patients who underwent PCI with distal radial access were enrolled in the study. The DROAD was applied using an occlusive hemostasis method. Patients were assigned to either protocol 1 or protocol 2 at the primary physician's discretion. Protocol 1 involved the removal of 2 ml of air starting 1 h after the sheath removal and then the removal of 2 ml every 30 min until the band came off. Protocol 2 involved the removal of 4 ml of air 2 h after the sheath removal and then a further 4 ml of air every 15 min until the band came off. Results: A total of 446 patients were enrolled in this study (mean age; 61 ± 6 (Group 1) and 60 ± 5 (Group 2); females 45.83% (Group 1) and 46.34% (Group 2)). The baseline characteristics were the same, including mean hemostasis time (256 ± 25 min (Group 1) and 254 ± 28 min (Group 2), P-value = 0.611). Primary and secondary endpoints did not reach significance in either group (RAO; 21 (8.71) Group 1 and 18 (8.78) Group 2 (P-value = 0.932)). Age (OR (95%CI): 1.07 (0.57-1.45); P-value = 0.031), female gender (OR (95%CI): 1.42 (0.93-1.74); P-value = 0.012), distal artery diameter (OR (95%CI): 0.57 (0.21-0.93); P-value = 0.005), procedure time (OR (95%CI): 2.64 (0.95-4.32); P-value = 0.001), and sheath size (OR (95%CI): 2.47 (1.43-3.76); P-value = 0.044) were predictors of RAO in our cohort. Conclusion: This investigation shows no difference in the incidence of RAO with the standard versus accelerated deflation protocol after PCI. However, local vascular complications, including hematoma were increased with the accelerated protocol. Competing Interests: Conflict of interest The authors report no conflict of interest. (© 2023 Greater Baltimore Medical Center.) |
| References: | Cardiovasc Interv Ther. 2021 Jan;36(1):104-110. (PMID: 32166728) Cardiovasc Interv Ther. 2020 Apr;35(2):162-167. (PMID: 31127474) Anatol J Cardiol. 2021 Jun;25(6):402-406. (PMID: 34100727) JACC Cardiovasc Interv. 2016 Oct 10;9(19):1992-1999. (PMID: 27712733) JACC Cardiovasc Interv. 2022 May 23;15(10):1022-1029. (PMID: 35589232) J Saudi Heart Assoc. 2020 Apr 17;32(1):52-56. (PMID: 33154892) |
| فهرسة مساهمة: | Keywords: Ischemia; Patent hemostasis; Radial artery occlusion; Radial artery patency |
| تواريخ الأحداث: | Date Created: 20231023 Latest Revision: 20231031 |
| رمز التحديث: | 20231215 |
| مُعرف محوري في PubMed: | PMC10589037 |
| DOI: | 10.55729/2000-9666.1227 |
| PMID: | 37868684 |
| قاعدة البيانات: | MEDLINE |
Full Text Finder | تدمد: | 2000-9666 |
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| DOI: | 10.55729/2000-9666.1227 |