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EFFECTIVENESS AND SAFETY OF CORONARY ARTERY INTERVENTION THROUGH DISTAL RADIATE ARTERY PATH
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Abstract
Background: Percutaneous coronary intervention using the proximal radial artery is superior to the femoral artery. However, there are still limitations such as occlusion of the proximal radial artery, long compression bandage time, etc. Normal cannulation through the distal radial artery can overcome these limitations. Objective: Evaluate the effectiveness and safety of percutaneous coronary intervention using the right or left distal radial artery. Research subjects and methods: descriptive study with 24-hour monitoring on 259 patients scheduled for coronary angiography or intervention at the Department of Cardiology, Kien Giang General Hospital from January 2023 to May 2023. Results: 61.4% of patients had chronic coronary artery disease; 29.3% of non-ST-segment elevation acute coronary syndromes and 9.3% of ST-segment elevation myocardial infarctions in the study. 133/259 (51.4%) patients had percutaneous coronary intervention with a stent through the distal radial artery. The success rate of needle puncture of the distal radial artery and performing the procedure was 92.7%. The rate of needle insertion failure to translocate the proximal radial artery or femoral artery was 7.4%. The rate of complications of temporary loss of distal radial pulse was 2 cases (0.8%). However, after 24 hours of recovery, there were no cases of distal radial embolism diagnosed by vascular ultrasound. Hematoma at the needle puncture site (0.8%). It was recorded that 100% of cases were bandaged in place with manual gauze. Conclusion: Coronary angiography and intervention through the distal radial artery had a high success rate of 92.7% and had a low needle insertion failure rate. There was a low rate of vascular complications at the needle insertion site.
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References
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