scholarly journals CORONARY CATHETERIZATION

2018 ◽  
Vol 25 (05) ◽  
pp. 735-739
Author(s):  
Aamir Siddique ◽  
Rehan Riaz ◽  
Imran Javaid
Keyword(s):  
Radial Artery ◽  
Coronary Intervention ◽  
Cross Sectional Study ◽  
Radial Pulse ◽  
Cross Sectional ◽  
Local Study ◽  
Coronary Catheterization ◽  
Alternative Approach ◽  
Percutaneous Coronary ◽  
Study Results

Introduction: In recent years the trans-radial approach has been increasinglyemployed as an alternative approach to percutaneous coronary intervention. Loss of radial pulsemay lead to ischemic symptoms like pain in hand, claudication etc. There is a lack of local dataregarding complication associated with trans-radial coronary catheterization. Therefore, thereis need for local study to find out the frequency of complications associated with trans-radialapproach. Objectives: To determine the frequency of loss of radial pulse in patients undergoingtrans-radial coronary catheterization. Design: Cross sectional study. Setting: Department ofCardiology, Jinnah Hospital, Lahore. Period: From 3rd June 2014 to 2nd December 2014.Methodology: All 325 cases fulfilling the inclusion/exclusion criteria undergoing coronarycatheterization were included in the study. Results: A total of 325 patients, both male and femalewith positive Allens test, undergoing Trans-radial angiography for intervention were included.Loss of radial pulse was evaluated clinically at four weeks follow up.In our sampled population,mean age was 57.01 ± 6.8 years and 240 patients (73.8%) were male while 85 patients (26.2%)were female. Only 14 patients (4.3%) out of 325 had loss of radial artery pulse while remaining311 patients (95.7%) didn’t have loss of radial artery pulse. There was found no effect of genderon outcome i.e. loss of radial pulse but older age made a person prone to loss of radial pulse.Conclusion: It is concluded that the frequency (percentage) of loss of radial pulse is quite low(4.3%) in our patients undergoing trans-radial coronary catheterization.

Frequency and impact of slow flow / no flow in primary percutaneous coronary intervention

2021 ◽  
Author(s):  
Ghazanfer Ali Shah ◽  
Tooba malik ◽  
Sadaf Farooqi ◽  
Salman Ahmed ◽  
Khadijah Abid
Keyword(s):  
Myocardial Infarction ◽  
Percutaneous Coronary Intervention ◽  
Primary Percutaneous Coronary Intervention ◽  
Smoking Status ◽  
Coronary Intervention ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Percutaneous Coronary ◽  
St Elevation ◽  
Antegrade Flow

Objectives: To determine the frequency of slow/no flow in primary percutaneous coronary intervention, to know the clinical and angiographical predictors of the phenomenon, and to investigate the immediate impact of slow/no flow on hemodynamics. Method: The cross-sectional study was conducted at the National Institute of Cardiovascular Diseases, Karachi, from June 2018 to July 2019, and comprised patients presenting with ST elevation myocardial infarction who underwent primary percutaneous coronary intervention. Demographic and clinical details of the patients were recorded. The antegrade flow was assessed and determined using the thrombolysis in myocardial infarction criterion. Patients were assessed for the occurrence, predictors and impact of slow/no flow. Data was analysed using SPSS 21. Results: Of the 559 patients, 441(78.9%) were males. The overall mean age of the sample was 55.86±11.07 years. Angiographical slow/no flow during the procedure occurred in 53 (9.5%) patients, while normal flow was achieved in 506(90.5%). The thrombolysis in myocardial infarction grade in the affected patients was 0 in 10(1.8%), 1 in 15(2.7%), and 2 in 28(5%) patients. Smoking status, Continuous...

Abstract 203: Evaluation of Acute Radial Artery Injury Following Transradial Percutaneous Coronary Intervention by Optical Coherence Tomography

2012 ◽  
Vol 5 (suppl_1) ◽  
Author(s):  
Vinay Arora ◽  
Anupama Shivaraju ◽  
Mladen Vidovich ◽  
Adhir Shroff
Keyword(s):  
Optical Coherence Tomography ◽  
Percutaneous Coronary Intervention ◽  
Radial Artery ◽  
Coronary Intervention ◽  
Cross Sectional Area ◽  
Sectional Area ◽  
Cross Sectional ◽  
Artery Injury ◽  
Percutaneous Coronary ◽  
Transradial Pci

Background: Recent evidence has shown a reduced bleeding risk and resultant decreased morbidity and mortality when the transradial approach is utilized over the transfemoral approach for percutaneous coronary intervention (PCI). However, transradial catheterization may introduce acute and/or chronic injury to the radial artery limiting its use for future procedures and as a bypass conduit. Our goal was to utilize optical coherence tomography (OCT) to evaluate the incidence of acute radial artery injury in patients following transradial PCI. Methods: In this observational study OCT (C7 Dragonfly catheter, St. Jude Medical Systems, St. Paul, MN) was used to evaluate the radial artery of 25 patients at the University of Illinois and Jesse Brown Veterans Affairs Medical Centers in Chicago, IL following transradial PCI. Specific injuries assessed for included radial artery dissection and thrombus formation. Diameter and cross sectional area of the artery were taken proximally and distally. Measurements were taken independently by two separate readers to account for inter-reader variability. Results: The radial artery was assessed in 25 patients following transradial PCI. The mean BMI of our patient population was 27.8 kg/m2. A 5Fr sheath was used in 24% (n=6) cases and a 6Fr sheath was utilized for the remaining 19 cases. In 8 cases the sheath was upsized from a 5 to 6 F. The average length of artery scanned was 39.4mm with a mean proximal cross sectional area of 7.56 mm2 and distal area of 7.08 mm2. An average of 4.4 catheter exchanges were made per case. A small intimal tear was noted in the radial artery of one patient. No other dissections or thrombi were noted. Conclusion: Based on our initial observation, the incidence of acute radial artery injury following transradial PCI is very low (1/25) and overall transradial PCI is a safe modality. When compared with prior studies we believe the factors that decreased the incidence of acute radial artery injury in our population were related to larger arterial cross sectional area, higher mean BMI, and ultimately a lower sheath size to artery diameter ratio.

scholarly journals Withholding Emotional Expression can Hurt Heart: A Cross-Sectional Study of Attention and Emotion Regulation after Coronary Angioplasty

2021 ◽  
Vol 8 (2) ◽  
pp. 6
Author(s):  
Anchal Agarwal ◽  
Kamayani Mathur
Keyword(s):  
Emotional Expression ◽  
Artery Bypass ◽  
Coronary Intervention ◽  
Cross Sectional Study ◽  
Chronic Illnesses ◽  
Bypass Grafting ◽  
Sectional Study ◽  
Cross Sectional ◽  
Percutaneous Coronary

Emotions and physical health are entwined with each other. Much importance is being given lately in understanding the role of emotions and its management in chronic illnesses, especially cardiovascular disease (CVD), which is one of the leading causes of fatality in the present times. There is already burgeoning literature available with regards to coronary artery bypass grafting(CABG), but scarcely on percutaneous coronary intervention (PCI) patients.

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