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2022 ◽  
pp. 152660282110677
Author(s):  
Ganwei Shi ◽  
Feng Li ◽  
Liuyan Zhang ◽  
Chun Gong ◽  
Sheliang Xue ◽  
...  

Purpose: Radial artery occlusion (RAO) is one of the common complications after coronary intervention via the conventional radial artery approach. The purpose of the study was to explore the safety and feasibility of retrograde recanalization of the occluded radial artery via a distal radial artery (DRA) approach. Methods: Combined with the practice of our centre and a literature review, we summarized the procedure of retrograde recanalization of RAO, success rate, and complications. Results: A total of 14 of 15 patients with 15 pieces of occluded radial arteries were successfully recanalized via the DRA in our centre. In the 15 occluded vessels, 11 vessels (73.3%) had total occlusion and 4 vessels (26.7%) had functional occlusion. Four of 15 occluded vessels were acute occlusions. Two acute RAOs were only treated with aspiration via sheath, 11 RAOs with balloon angioplasty, and 2 RAOs with both, respectively. In 6 patients, cardiac catheterization was carried out via the DRA after recanalizing the RAO. A total of 10 studies reporting the results of recanalization of RAO via the DRA were systematically retrieved in the present study. In 3 case series, the number of cases was more than 5, and the success rate of recanalization was more than 85.7%. Two studies reported complications, including dissection in one case, hematoma in 2 cases, and pain in the forearm during angioplasty. Conclusions: Recanalization of the occluded radial artery via the DRA was safe and effective. When repeat cardiac catheterization was required, recanalization of the RAO and subsequent coronary angiography or intervention through the ipsilateral radial artery approach was feasible.


2021 ◽  
Vol 13 (12) ◽  
pp. 2113-2127
Author(s):  
Angelo Di Giorgio ◽  
Anna Tulone ◽  
Emanuele Nicastro ◽  
Lorenzo Norsa ◽  
Aurelio Sonzogni ◽  
...  

2021 ◽  
Vol 11 (1) ◽  
pp. 139
Author(s):  
Agata Gabryelska ◽  
Marcin Sochal ◽  
Bartosz Wasik ◽  
Przemysław Szczepanowski ◽  
Piotr Białasiewicz

Continuous positive airway pressure (CPAP) has been the standard treatment of obstructive sleep apnoea/hypopnoea syndrome (OSA) for almost four decades. Though usually effective, this treatment suffers from poor long-term compliance. Therefore, the aim of our one centre retrospective study was to assess factors responsible for treatment failure and long-term compliance. Four hundred subsequent patients diagnosed with OSA and qualified for CPAP treatment were chosen from our database and compliance data were obtained from medical charts. Many differing factors kept patients from starting CPAP or led to termination of treatment. Overall, almost half of patients ended treatment during the mean time of observation of 3.5 years. Survival analysis revealed that 25% of patients failed at a median time of 38.2 months. From several demographic and clinical covariates in Cox’s hazard model, only the presence of a mild OSA, i.e., AHI (apnoea/hypopnoea index) below 15/h was a factor strongly associated with long term CPAP failure. The compliance results of our study are in line with numerous studies addressing this issue. Contrary to them, some demographic or clinical variables that we used in our survival model were not related to CPAP adherence.


2021 ◽  
Vol 74 (3) ◽  
pp. 343-351
Author(s):  
Hakan Baş ◽  
Nihal Eker ◽  
Türkan Nadir Öziş ◽  
Murat Karakurt ◽  
Emine Gül Aydın ◽  
...  

Cureus ◽  
2021 ◽  
Author(s):  
Saroj Kumar Das Majumdar ◽  
Dr Deepak K Das ◽  
Sandip Barik ◽  
Avinash Badajena ◽  
Dillip Kumar Parida

2021 ◽  
Vol 73 ◽  
pp. S45-S46
Author(s):  
Navjyot Kaur ◽  
Rajeev Chauhan ◽  
Ajay J. Swamy

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