TO ACCESS THE SAFETY AND SUCCESS OF TRANSRADIAL CORONARY ANGIOGRAPHY IN A TERTIARY CARE HOSPITAL
DOI:
https://doi.org/10.52206/jsmc.2013.3.2.294-298Abstract
OBJECTIVE: To determine the safety and success of transradial coronary angiography and angioplasty in
a tertiary care hospital.
METHODS: The feasibility and safety of routine transradial coronary angiography was assessed
prospectively in 591 patients from March 2011 to March 2013 at Cath lab of cardiology department Lady
Reading Hospital Peshawar. All patients with normal Allen's test were included in study. Patients having
abnormal or modified Allen's test, on haemodialysis or had abnormal serum creatinine level were excluded
from the study. If the rightradial approach was used in all cases. The main outcome measures were success
rate and complications of transradial coronary angiography. The catheter selection was a 6FJL 3.5 for right
coronary artery and 6FJR 4 catheter for left coronary artery. In 354(60 percent) cases, coronary angiography
was performed by using 6F JR4 for both coronary arteries.
RESULTS: The mean age was 55 ±10.08 years with 437 (74%) males and 154 (26%) females.A total of 591
coronary angiographies were perform though trans-radial route in the study period. Overall procedure
success rate was 95%(561 patients) for transradial coronary angiography, with mean procedure time of
21.25 ± 5.25 minutes ,mean fluoroscopy time of 6 ± 3.15 minutes, and 90% of patients were discharged on
the same day. Only 2 patients had mild forearm haematoma, pain and spasm of radial artery occlusion
occurred in 20 (3.38%) study patients. Asymptomatic radial occlusion in 8(1.35%). The reason for failure of
transradial procedure included failed radial artery puncture (n=6), radial artery loop (n=2), tortuous
subclavian artery (n-3), failed catheterization of coronary arteries in 5 patients (2.53%) and severe radial
artery spasm in 20(3.38%).
CONCLUSION:Trans-radial artery cannulation is a safe and successful route for performance of coronary
procedures.It can be used as an acceptable alternate to transfemoral.
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