P6371Endothelial functions are preserved in left distal radial access coronary angiography, a prospective comparison with right and left forearm radial artery access site
Makaleler > Tam Makale · 2018
Yazarlar: E Skraqi, M Kis, M Akin
European Heart Journal, Uluslararası, Wos, 2018, cilt 39
DOI: 10.1093/eurheartj/ehy566.p6371
Özet
Introduction: Left distal radial access at the anatomical snuffbox as a new method for coronary angiography and interventions has recently increased its popularity. Purpose: We aimed to investigate the endothelial functions through flow mediated vasodilatation test in three different access sites: right forearm radial artery, left forearm radial artery and left distal radial artery. Methods: Transradial access was used in 41 patients scheduled for coronary angiograpghy and intervention from September 6-th 2017 and February 8-th 2018. They were divided into 3 groups: group 1 left forearm radial (5 patients), group 2 left distal radial (17 patients) and group 3 right forearm radial artery (19 patients) access. Flow mediated endothelial functions were measured 3 times, on admission, 24 hour after and 2 months after the procedure. The test was performed with the patient supine, relaxed for 5 minutes. Echocardiography (GE Vivid E9) linear probe was used for radial artery diameter measurement. Arm cuff inflation till 220 mmHg lasted 5 minutes. After deflation radial artery diameter and their percantage change was recorded in the 1.st, 2nd and 3rd minute. All the data was evaluated by the IBM SPSS Statistics 21.0 programme. Kruskal Wallis test and Bonferroni corrected Dunn test was performed for comparison of variables.