COMPARATIVE STUDY BETWEEN CONVENTIONAL AND DISTAL RADIAL ARTERY APPROACHES FOR CORONARY ANGIOGRAPHY AND/OR INTERVENTION; IMMEDIATE AND SHORT-TERM FOLLOW UP

OBJECTIVE: This study aimed to compare the effectiveness of the Epley maneuver with the Semont maneuver in the treatment of posterior semicircular canal benign paroxysmal positional vertigo and observe differences in the resolution time of symptoms in the short-term follow-up. METHODS: Sixty patients with posterior semicircular canal benign paroxysmal positional vertigo (23 males, 37 females; median age: 44.9 years; range, 14 to 80 years) were included in the prospective randomized comparative study conducted in our clinic between April 2019 and October 2019. Diagnosis and treatment maneuvers were performed under videonystagmography examination. Participants were randomly selected after the diagnostic tests for the Epley maneuver and the Semont maneuver treatment groups. RESULTS: In the evaluation of vertigo with videonystagmography, 25 (83.3%) patients in the Epley maneuver group and 20 (66.6%) patients in the Semont maneuver group recovered in the one-week follow-up, and 28 (93.3%) patients in the Epley maneuver group and 24 (80%) patients in the Semont maneuver group recovered in the two-week follow-up. All patients in the Epley maneuver group recovered at the end of one month; four patients in the Semont maneuver group still had vertiginous symptoms (100% vs. 86.6%, p=0.04). There was a statistically significant difference between the Epley and Semont groups regarding visual analog scores at the one-week, two-week, and one-month follow-ups (p=0.002, p<0.001, p=0.001, respectively). CONCLUSION: The Epley maneuver was significantly more effective than the Semont maneuver in resolving vertigo in the short-term treatment of posterior semicircular canal benign paroxysmal positional vertigo.

Download Full-text

Distal Radial Artery Pressures Predict Angiographic Result and Short-Term Patency Outcome in Hemodialysis Patients With Juxta-Anastomotic Inflow Stenosis of Radiocephalic Fistula Undergoing Transradial Angioplasty

Therapeutic Apheresis and Dialysis ◽

10.1111/1744-9987.12003 ◽

2013 ◽

Vol 17 (3) ◽

pp. 311-318 ◽

Cited By ~ 3

Author(s):

Chi-Cheng Lai ◽

Hua-Chang Fang ◽

Ching-Hwung Lin ◽

Guang-Yuan Mar ◽

Ching-Jiunn Tseng ◽

...

Keyword(s):

Radial Artery ◽

Hemodialysis Patients ◽

Short Term ◽

Angiographic Result ◽

Distal Radial Artery

Download Full-text

Comparative study of nicorandil and a spasmolytic cocktail in preventing radial artery spasm during transradial coronary angiography

International Journal of Cardiology ◽

10.1016/j.ijcard.2006.10.008 ◽

2007 ◽

Vol 120 (3) ◽

pp. 325-330 ◽

Cited By ~ 23

Author(s):

Seong Hwan Kim ◽

Eung Ju Kim ◽

Won Seok Cheon ◽

Min-Kyu Kim ◽

Woo Jung Park ◽

...

Keyword(s):

Coronary Angiography ◽

Comparative Study ◽

Radial Artery

Download Full-text

Distal radial artery access in the anatomical snuffbox for coronary angiography and intervention

Medicine ◽

10.1097/md.0000000000018330 ◽

2020 ◽

Vol 99 (3) ◽

pp. e18330 ◽

Cited By ~ 4

Author(s):

Weiwei Yu ◽

Pengfei Hu ◽

Shen Wang ◽

Liping Yao ◽

Hao Wang ◽

...

Keyword(s):

Coronary Angiography ◽

Radial Artery ◽

Distal Radial Artery

Download Full-text

A COMPARATIVE STUDY ON FUNCTIONAL OUTCOME OF UNSTABLE INTERTROCHANTERIC FRACTURE IN ELDERLY TREATED WITH BIPOLAR HEMIARTHROPLASTY AND DYNAMIC HIP SCRE

10.36106/ijar/8510863 ◽

2021 ◽

pp. 26-27

Author(s):

Sahil N Damor ◽

Shreyas Gandhi

Keyword(s):

Comparative Study ◽

Fracture Pattern ◽

Bipolar Hemiarthroplasty ◽

Early Failure ◽

Short Term ◽

Unstable Intertrochanteric Fracture ◽

Prospective Comparative Study ◽

Initial Fracture ◽

Hip Screw

Trochanteric hip fractures in elderly patients have beneted from advances in internal xation. Early failure of internal xation occurs however in a number of cases. The failure after internal xation had been due to initial fracture pattern, communication, sub-optimal fracture xation and poor bone quality. The aim of this prospective comparative study is to analyze the short term follow up results of unstable Intertrochanteric fractures in elderly treated with bipolar hemiarthroplasty and dynamic hip screw (DHS) xation.

Download Full-text

Comparison of Clinical Value between Right Distal Radial Artery Access and Right Radial Artery Access in Patients Undergoing Coronary Angiography or Percutaneous Coronary Intervention

Cardiovascular Innovations and Applications ◽

10.15212/civa.2019.0592 ◽

2020 ◽

Author(s):

Jianhua Fan

Keyword(s):

Percutaneous Coronary Intervention ◽

Coronary Angiography ◽

Radial Artery ◽

Coronary Intervention ◽

Access Time ◽

Arterial Access ◽

Compression Time ◽

Percutaneous Coronary ◽

The Right ◽

Distal Radial Artery

Objective: To compare the feasibility and safety between right distal radial artery access and right radial artery accessin patients undergoing coronary angiography (CAG) or percutaneous coronary intervention (PCI).Methods: On the basis of arterial access, 113 patients who underwent CAG or PCI in Kunshan Hospital of TraditionalChinese Medicine between January and October 2018 were divided into two groups: a right distal radial artery group (52 patients) and a right radial artery group (61 patients). We collected general information, the number of puncture attempts, access times, postoperative compression time, and complications.Results: The general characteristics, rate of successful radial artery puncture, and rate of successful catheter placement inthe two groups were not different. The right radial artery group had fewer puncture attempts (1.26 ± 0.44 times vs. 2.19 ± 0.53times, P = 0.001) and a shorter access time (3.23 ± 0.86 min vs. 4.77 ± 1.49 min, P = 0.001) than the right distal radial arterygroup. However, the postoperative compression time in the right distal radial artery group was shorter (3.44 ± 0.9 h vs.7.16 ± 1.21 h, P = 0.001). Two cases of bleeding, four cases of hematoma, and one case of artery occlusion in the right radialartery group and one case of hematoma in the right distal artery group occurred before discharge. The rate of total complicationsin the right distal radial artery group was lower than in the right radial artery group (1.93% vs. 11.48%, P = 0.048).Conclusion: CAG or PCI through the right distal radial artery is feasible and safe.

Download Full-text

Feasibility and Safety of Distal Radial Artery Access in Anatomical Snuffbox for Coronary Angiography and Coronary Intervention

Journal of Nepal Health Research Council ◽

10.33314/jnhrc.v18i1.2402 ◽

2020 ◽

Vol 18 (2) ◽

pp. 259-262

Author(s):

Arun Maskey ◽

Birat Krishna Timalsena ◽

Sheikh Aslam ◽

Rabindra Pandey ◽

Madhu Roka ◽

...

Keyword(s):

Percutaneous Coronary Intervention ◽

Coronary Angiography ◽

Radial Artery ◽

Vascular Access ◽

Coronary Intervention ◽

Pain Rating ◽

Coronary Interventions ◽

Transradial Access ◽

Percutaneous Coronary ◽

Distal Radial Artery

Background: There is limited data on feasibility and safety of coronary interventions performed using radial artery at anatomical snuffbox as vascular access point in South Asian region. Our study attempts to evaluate the feasibility and safety of coronary angiography and percutaneous coronary intervention using transradial access at anatomical snuffbox.Methods: Transradial access at anatomical snuffbox was attempted in 128 consecutive patients, who were planned for coronary angiography and/or percutaneous coronary intervention. Success in vascular access, completion of planned procedure and complications encountered, including patency of radial artery after the procedure, were investigated. Results: A total of 128 patients (76 males [59.4%]; 52 females [40.6%]) between 44-78 years of age (mean age, 59.0 +/- 10.2 years) were included in the study. Distal radial artery puncture and sheath placement was successful in all patients however planned procedure was completed in 126 (98.4%) patients. Total 90 coronary angiographies and 36 percutaneous coronary interventions were performed of which five were primary percutaneous coronary intervention. We encountered brachial artery spasm among two patient (1.5%) and significant pain and swelling among three patients (2.3%). No bleeding complication, numbness or parasthesia were observed on follow-up. Patients had average pain rating of 2.4+/- 1.1 in visual analogue pain rating scale. There were no instances of radial artery occlusion after the procedure.Conclusions: Distal radial artery, at anatomical snuffbox, is a safe and feasible alternative vascular access site for coronary angiography and percutaneous coronary intervention. Keywords: Cardiac catheter; coronary angiography; feasibility studies; percutaneous coronary intervention; radial artery; vascular access device

Download Full-text

Distal Radial Artery Access for Coronary and Peripheral Procedures: A Multicenter Experience

Journal of Clinical Medicine ◽

10.3390/jcm10245974 ◽

2021 ◽

Vol 10 (24) ◽

pp. 5974

Author(s):

Alexandru Achim ◽

Kornél Kákonyi ◽

Zoltán Jambrik ◽

Ferenc Nagy ◽

Julia Tóth ◽

...

Keyword(s):

Coronary Angiography ◽

Success Rate ◽

Radial Artery ◽

Vascular Complications ◽

Coronary Intervention ◽

Learning Curves ◽

Bleeding Complications ◽

Entry Site ◽

Catheterization Laboratory ◽

Distal Radial Artery

Introduction: Distal radial access (dRA) has recently gained global popularity as an alternative access route for vascular procedures. Among the benefits of dRA are the low risk of entry site bleeding complications, the low rate of radial artery occlusion, and improved patient and operator comfort. The aim of this large multicenter registry was to demonstrate the feasibility and safety of dRA in a wide variety of routine procedures in the catheterization laboratory, ranging from coronary angiography and percutaneous coronary intervention to peripheral procedures. Methods: The study comprised 1240 patients who underwent coronary angiography, PCI or noncoronary procedures through dRA in two Hungarian centers from January 2019 to April 2021. Baseline patient characteristics, number and duration of arterial punctures, procedural success rate, crossover rate, postoperative compression time, complications, hospitalization duration, and different learning curves were analyzed. Results: The average patient age was 66.4 years, with 66.8% of patients being male. The majority of patients (74.04%) underwent a coronary procedure, whereas 25.96% were involved in noncoronary interventions. dRA was successfully punctured in 97% of all patients, in all cases with ultrasound guidance. Access site crossover was performed in 2.58% of the patients, mainly via the contralateral dRA. After experiencing 150 cases, the dRA success rate plateaued at >96%. Our dedicated dRA step-by step protocol resulted in high open radial artery (RA) rates: distal and proximal RA pulses were palpable in 99.68% of all patients at hospital discharge. The rate of minor vascular complications was low (1.5%). A threshold of 50 cases was sufficient for already skilled radial operators to establish a reliable procedural method of dRA access. Conclusion: The implementation of distal radial artery access in the everyday routine of a catheterization laboratory for coronary and noncoronary interventions is feasible and safe with an acceptable learning curve.

Download Full-text

A comparative study on functional outcome of unstable intertrochanteric fractures in elderly treated with bipolar hemiarthroplasty and dynamic hip screw fixation: a short term perspective analysis

International Journal of Research in Orthopaedics ◽

10.18203/issn.2455-4510.intjresorthop20200523 ◽

2020 ◽

Vol 6 (2) ◽

pp. 319

Author(s):

M. R. Anand ◽

N. S. Ramachandren

Keyword(s):

Comparative Study ◽

Internal Fixation ◽

Bipolar Hemiarthroplasty ◽

Intertrochanteric Fractures ◽

Short Term ◽

Bipolar Prosthesis ◽

Group A ◽

Hip Screw ◽

Group B

Background: Trochanteric hip fractures in elderly patients have benefited from advances in internal fixation. Early failure of internal fixation occurs however in a number of cases. The failure after internal fixation had been due to initial fracture pattern, communication, sub-optimal fracture fixation and poor bone quality. The aim of this prospective comparative study is to analyze the short term follow up results of unstable Intertrochanteric fractures in elderly treated with bipolar hemiarthroplasty and dynamic hip screw (DHS) fixation.Methods: This is a study conducted in the Department of Orthopaedics, Government Tiruvarur Medical College, Tiruvarur. 42 elderly osteoporotic patients with unstable intertrochanteric fractures who were divided into two groups with group A-bipolar prosthesis (21 cases) and group B-DHS (21 cases).Results: 42 elderly osteoporotic patients with unstable intertrochanteric fractures who were divided into two groups with group A-bipolar prosthesis (21 cases) and group B-DHS (21 cases). Patients were evaluated clinically using the Harris hip score during their follow up period. In both groups, the most common Singh’s index was grade III, 61.90%in both group A and group B.Conclusions: From our results, we are of the opinion that bipolar hemiarthroplasty may be an efficient option in elderly osteoporotic intertrochanteric fractures. It reduces the potential complications of prolonged immobilization such as pressure sores, pulmonary complications by early mobilization.

Download Full-text

Short-term Assessment of Radial Artery Grafts With Multidetector Computed Tomography

10.21203/rs.3.rs-45997/v1 ◽

2020 ◽

Author(s):

En Qiao ◽

Yuetang Wang ◽

Jun Yu ◽

Xu Wang ◽

Xinjin Luo ◽

...

Keyword(s):

Computed Tomography ◽

Coronary Artery ◽

Multidetector Computed Tomography ◽

Radial Artery ◽

Right Coronary Artery ◽

Left Internal Mammary Artery ◽

Graft Patency ◽

Short Term ◽

The Right

Abstract Background The clinical use of radial artery (RA) in coronary artery bypass grafting (CABG) is still limited worldwide, although it has been recommended by several guidelines, and the application of multidetector computed tomography (MDCT) in the evaluation of graft patency is still to be verified. This study aims to report the short-term results of RA in CABG with MDCT. Methods The study population consists of 41 consecutive patients undergoing elective CABG with the RA graft between 2007 to 2008, with MDCT performed to evaluate graft patency during follow-up, and target vessels for the RA were non-left anterior descending coronary arteries with > 70% stenosis. Results MDCT could clearly show the structure and patency of grafts, even for complex coronary artery revascularization. A total of 150 distal anastomoses were assessed by MDCT during follow-up (mean, 8.9 ± 5.1 months). Functional graft patency of the left internal mammary artery (LIMA) was 92.9% (39/42), with the RA patency of 84.4% (38/45) and the patency of saphenous vein graft (SVG) of 81.1% (30/37). And the RA targeting the left coronary artery system might have better patency than that of the RA targeting the right coronary artery system (25/29, 86.2% vs 13/16, 81.3%, p = 0.686). Conclusions MDCT could provide excellent visualization of grafts in CABG. The short-term patency rate of RA grafts is good, and the RA might be associated with better patency when targeted to the left but not the right coronary artery.

Download Full-text