KẾT QUẢ CAN THIỆP ĐỘNG MẠCH VÀNH QUA ĐƯỜNG ĐỘNG MẠCH QUAY TẠI BỆNH VIỆN TIM HÀ NỘI

Abstract

Introduction: The radial artery approach in coronary intervention is favored due to its reduced complications, shorter hospital stays, and cost-effectiveness, although it requires high technical expertise and thorough evaluation. In Vietnam, research on this method remains limited, despite its routine application in major hospitals like Hanoi Heart Hospital. Objective: To describe the effectiveness, benefits, and complications of coronary intervention via radial artery access during the first 6 months of 2023 at Hanoi Heart Hospital. Methods: A cross-sectional descriptive study was conducted on 1,387 patients from January to June 2023, with data analyzed using SPSS 20.0. The study process included clinical examination, coronary angiography and intervention via a DSA system, and monitoring of clinical events and complications post-intervention. Results: The success rate was 96.8%, with 3.2% failures due to radial artery puncture issues (2.1%) and guidewire insertion failures (0.8%). Among the 1,387 patients, 52.6% underwent coronary interventions, primarily requiring one stent (80.4%). Post-procedure complications included hematoma (5.2%) and radial artery occlusion (1%), but there were no cases of major bleeding or limb ischemia, confirming the high safety profile of this method. Conclusion: The radial artery approach demonstrated high therapeutic efficacy, impressive success rates, and low complication rates, warranting broader adoption in clinical practice.