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STUDY ON THE RESULTS OF PERCUTANEOUS CORONARY ARTERY INTERVENTION USING DISTAL RADIAL ACCESS IN PATIENTS WITH CHRONIC CORONARY SYNDROMES AT CAN THO CENTRAL GENERAL HOSPITAL
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Abstract
Background: Chronic coronary syndrome has a high mortality rate and cardiovascular events. Coronary artery intervention using the distal radial access has good results, while systemic and local complications are low. However, in Vietnam there have not been many studies evaluating the results of treatment with this method on patients with chronic coronary syndrome. Objective: Evaluation of technical characteristics and results of treatment of chronic coronary syndrome using percutaneous coronary intervention using distal radial access. Methods: Interventional study, patients diagnosed with chronic coronary syndrome were indicated for angiography and percutaneous coronary intervention at the Department of Interventional Cardiology - Can Tho Central General Hospital from March 2023 to September March 2024. Results: At the end of follow-up, the average age between the two groups was 65.8 ± 10.2 years old (DRA, n=30) and 65.3 ± 9.0 years (TRA, n=30). Men make up the majority with 53.3% and 63.3%. The most common culprit coronary location in both groups was the LAD. Total stent length in the DRA group was lower than the TRA group with 9.3 ± 3.9mm versus 11.5 ± 1.9mm (p<0.05). Post-intervention pain time and compression bandage time in the TRA intervention group were higher than the DRA group (p<0.01). 100% of patients in both groups received successful intervention with TIMI III flow. The TRA intervention group had 2 patients with acute kidney failure due to contrast agent. Radial artery occlusion, hematoma at the needle puncture site and hand numbness after intervention in the DRA group were 3.3%, 3.3% and 6.7% compared to 3.3%, 6.6% and 23.3% in the TRA group. Conclusions: Percutaneous coronary intervention using distal radial access in patients with chronic coronary syndrome shows highly successful results with a lower rate of systemic and local complications.
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Keywords
Chronic coronary syndrome, percutaneous coronary intervention, distal radial access
References
2. Nguyễn Khắc Linh (2022). Kết quả sử dụng đường vào đoạn xa động mạch quay trong chụp và can thiệp động mạch vành, Tạp chí tim mạch học Việt Nam, số 100, tr. 67-73.
3. Võ Thành Nhân (2023). Tính khả thi của cách tiếp cận qua đoạn xa động mạch quay trái trong chụp và can thiệp mạch vành, Tạp chí Y học Việt Nam, tập 524, số 1B, tr. 361-365.
4. Aminian A, Sgueglia G A, Wiemer M, Kefer J et al (2022). Distal versus conventional radial access for coronary angiography and intervention: the DISCO RADIAL trial, Cardiovascular Interventions, 15 (12), pp. 1191-1201.
5. Corcos T (2019). Distal radial access for coronary angiography and percutaneous coronary intervention: a state‐of‐the‐art review, Catheterization and Cardiovascular Interventions, 93 (4), pp. 639-644.
6. Ilie A C, Taranu S M, Stefaniu R, Sandu I A, et al (2022). Chronic Coronary Syndrome in Frail Old Population, Life, 12 (8), pp. 1133.
7. Knuuti J, Wijns W, Saraste A, Capodanno D, et al (2020). 2019 ESC Guidelines for the diagnosis and management of chronic coronary syndromes: the Task Force for the diagnosis and management of chronic coronary syndromes of the European Society of Cardiology (ESC), European heart journal, 41 (3), pp. 407-477.
8. Xie L, Wei X, Xie Z, Jia S, et al (2021). Feasibility of distal radial access for coronary angiography and percutaneous coronary intervention: a single center experience, Cardiology, 146 (5), pp. 531-537.